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Accuracy of predicted versus achieved aligner treatment outcome of a complex case using digital heatmaps

Open Access
|Jul 2021

Figures & Tables

Figure 1.

Pretreatment photographs.
Pretreatment photographs.

Figure 2.

Pretreatment OPG.
Pretreatment OPG.

Figure 3.

Pretreatment lateral cephalogram.
Pretreatment lateral cephalogram.

Figure 4.

Invisalign® predicted treatment outcome.
Invisalign® predicted treatment outcome.

Figure 5.

Invisalign® predicted outcome showing attachments.
Invisalign® predicted outcome showing attachments.

Figure 6.

Actual treatment outcome.
Actual treatment outcome.

Figure 7.

Final photographs 26.02.2020.
Final photographs 26.02.2020.

Figure 8.

Prefinishing OPG 30.10.19.
Prefinishing OPG 30.10.19.

Figure 9.

Prefinishing lat cephalogram 30.10.19.
Prefinishing lat cephalogram 30.10.19.

Figure 10.

Cephalometric superimposition (Bjork) pretreatment vs prefinish.
Cephalometric superimposition (Bjork) pretreatment vs prefinish.

Figure 11.

Auxiliary treatment during aligner treatment.
Auxiliary treatment during aligner treatment.

Figure 12.

Heat map definition: Scale is 1 mm either side of ideal, in 0.1 mm gradations. Deviations that are moving out of or away from the reference model are towards the red end of the spectrum. Deviations that are moving into the reference model are towards the blue end of the spectrum. All deviations greater than 1 mm are recorded as either solid red or solid blue.
Heat map definition: Scale is 1 mm either side of ideal, in 0.1 mm gradations. Deviations that are moving out of or away from the reference model are towards the red end of the spectrum. Deviations that are moving into the reference model are towards the blue end of the spectrum. All deviations greater than 1 mm are recorded as either solid red or solid blue.

Figure 13a.

Maxillary arch .stl superimpositions. Yellow – Initial .stl, Green – Final Outcome .stl and Heat Maps (Deviation is 1 mm either side of Nil, reference model is the Initial .stl).
Maxillary arch .stl superimpositions. Yellow – Initial .stl, Green – Final Outcome .stl and Heat Maps (Deviation is 1 mm either side of Nil, reference model is the Initial .stl).

Figure 13b.

Mandibular arch .stl superimpositions. Yellow – Initial .stl, Green – Final Outcome .stl and Heat Maps (scale is 1 mm, reference model is the Initial .stl).
Mandibular arch .stl superimpositions. Yellow – Initial .stl, Green – Final Outcome .stl and Heat Maps (scale is 1 mm, reference model is the Initial .stl).

Figure 14a.

Maxillary arch .stl superimpositions. Yellow – Predicted Outcome .stl, Green – Final Outcome .stl and Heat Maps (scale is 1 mm, reference model is the Predicted Outcome .stl).
Maxillary arch .stl superimpositions. Yellow – Predicted Outcome .stl, Green – Final Outcome .stl and Heat Maps (scale is 1 mm, reference model is the Predicted Outcome .stl).

Figure 14b.

Mandibular arch .stl superimpositions. Yellow – Predicted Outcome .stl, Green – Final Outcome .stl and Heat Maps (scale is 1 mm, reference model is the Predicted Outcome .stl).
Mandibular arch .stl superimpositions. Yellow – Predicted Outcome .stl, Green – Final Outcome .stl and Heat Maps (scale is 1 mm, reference model is the Predicted Outcome .stl).

Cephalometric measurements – initial and prefinishing_

MeasurementStandard18/8/201730/10/2019Change
SKELETAL MaxillaSNA82 ± 2°72.672.80.2
A Point Convexity3 ± 2 mm-2-2.1-0.1
NaVert – A point1 mm-1.3-1.20.1
MandibleSNB80 ± 2°72.673.00.4
Facial Angle87 ± 3°90.790.90.2
NaVert – Po-8 to -6 mm-2 to +4 mm1.31.80.5
Basal Arch RelationshipANB2 ± 2°0-0.2-0.2
WITSF: 0mm-2.1-1.90.2
VerticalMd Plane Angle26 ± 4°28.627.7-0.9
LFH Angle47 ± 4°49.848.3-1.5
Md Arc26 ± 4°35.237.62.4
Facial Axis Angle90 ± 3°83.283.70.5
GrowthCVMI1-6660
DENTAL Upper IncisorsUI to FH110°120.9118.9-2
UI to Pal Plane110°112110.9-1.1
UI to Na Vert5 mm6.87.60.8
Lower IncisorsLI to Md Plane92.5°80.786.86.1
LI to Apo1 ± 2 mm0.22.42.2
LI to Apo22 ± 4°22.127.75.6
InterincisalUI to LI130 ± 2°129.7126.6-3.1
FACE DEPTH U Face G’-Sn50%46.645.8-0.8
L Face Sn-Me’50%53.454.20.8
U Lip Sn-Stom33%30.827.7-3.1
L Lip Stom-Me’67%69.272.33.1
PFH:AFH59 to 63%56.557.30.8
SOFT ISSUE L Lip – E Line-2 ± 2 mm-5.1-4.01.1
SnVert – U Lip1 mm-1.7-0.90.8
SnVert – L Lip-1 mm-4.1-2.02.1
SnVert – Po’-3 mm-7.6-8.0-0.4

j_aoj-2021-012_tab_002

DateStage
16/5/2018Aligners inserted – 29 aligners in initial treatment
17/4/201932, 12, 22 not tracking at aligner 29 Attachments removed and scan for Additional Aligners
15/5/2019Bonded new attachments. 26 aligners in Additional Aligner order Commence cross-elastics on left side at Aligner 1
18/7/2019Aligner 6 12, 22 not tracking. Commence bootstrap elastics
16/10/2019Aligner 12 31, 42 not tracking vertically so attachments removed to allow passive vertical settling, Commence powerarm mechanics for 32
30/10/2019Prefinishing OPG and Lateral Ceph ordered
26/2/2020Completed aligners; removed bonded attachments, bonded retainers
DOI: https://doi.org/10.21307/aoj-2021-012 | Journal eISSN: 2207-7480 | Journal ISSN: 2207-7472
Language: English
Page range: 109 - 120
Published on: Jul 13, 2021
Published by: Australian Society of Orthodontists Inc.
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Phillip Goh, Tony Weir, Elissa Freer, Brett Kerr, published by Australian Society of Orthodontists Inc.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.