A patient, in his early twenties, presented at the practice unhappy with his smile.
In the patient’s words: ‘I had braces when I was young, had a missing tooth and the dentist moved my teeth to close the gap. Now, everything is moved to one side, and I have Halloween-ready flanges. I hate smiling and want to do something about my smile.’
He reported no acute pain.
The patient wanted his teeth treated, however, he was unprepared to have fixed braces due to lifestyle reasons. To minimise lowering his confidence, he opted to have braces that were invisible.
Additionally, he wanted to have composite bonding to improve the edges of the teeth.
The patient’s last dental visit was more than six months ago. He was referred to us through a family member who we had recently treated.
As part of the initial assessment, we discussed his main concerns as well as his expectations. We then moved on to discussing his medical and social history.
The patient was generally fit and well, taking no medication and had no known allergies. His alcohol consumption was moderate, and he was a non-smoker.
His oral hygiene was acceptable: brushing twice daily with a manual toothbrush. No interdental appliances were used.
Figures 1 to 7* show the preoperative photographs and the Clincheck is shown in Figures 8a to 8e. The results of the extraoral and intraoral examination are summarised in Table 1.
A panoramic radiograph revealed good bone levels and root length/forms (Figure 9). No pathology was detected. The findings of the assessment allowed us to produce a problem list (Table 2), which enabled all possible treatment options to be discussed.
The treatment options included:
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Winner : AGC Case of the Year 2022
Orthodontics : Clear Aligner
Best Young Dentist 2021 Finalist
Best Young Dentist 2020 Finalist
As a result of an accident I had as a child my front tooth suffered some trauma and became discoloured over time. The tooth eventually broke last year which led to it being removed. I was referred to Kunal who took me through the various options I had. As functionality was the most important aspect...
As a child, I was given a fixed brace by a practice who showed very little care. These were removed after 9 months due to them being "unable to straighten anymore" leaving me unhappy with my teeth and a major open bite. As years went on, I became less and less confident with my teeth,...
Thank you for your hard work and I hope this testimonial reflects just how happy I am with my smile. The care and attention which I received during my smile makeover was far better than any I have previously experienced. Kunal and his team were amazing throughout the entire process. I had regular check-ups throughout,...
Kunal is a very approachable, informative and meticulous dentist. From the beginning of my last Invisalign journey, Kunal explained the procedure very clearly and thoroughly. He showed me a 3D image and how my teeth would change throughout the treatment, the length of the treatment and the possible cons of it, such as black triangles...
I was never conscious of my teeth much but over the years my teeth became more overcrowded, in particular my bottom teeth. I found myself smiling in photos with my mouth closed as I didn’t like the way my teeth looked this was something that over time I got even more conscious of and so...
Kunal and his team gave me the best experience throughout my transformation. Everything was explained all the way through the process and he even accommodated my lunch time appointments every 4 weeks! He always gave his honest opinions and made me feel at ease. He is such a perfectionist and wouldn’t let me leave my...
As a result of an accident I had as a child my front tooth suffered some trauma and became discoloured over time. The tooth eventually broke last year which led to it being removed. I was referred to Kunal who took me through the various options I had. As functionality was the most important aspect for a replacement for me we agreed an implant was the route to go. The tooth removal however left an element of damage to the natural bone so I had to undergo a bone graft to repair this. One year after the extraction (as 2 bone grafts were needed in the end) I'm now fitted with my implant and I can honestly say I have never been as proud to smile as I am today. From start to finish Kunal...
As a child, I was given a fixed brace by a practice who showed very little care. These were removed after 9 months due to them being "unable to straighten anymore" leaving me unhappy with my teeth and a major open bite. As years went on, I became less and less confident with my teeth, until I came across Kunal. From the first moment I walked into the practice, Kunal was very welcoming and talked me through every possible stage that would happen if I was to go ahead with treatment with zoom calls to show the perceived results and ensure I was happy to go ahead with treatment Kunal gave me a diagnosis of my open bite, which was behavioural, therefore instantly this behavioural trait was worked upon to receive the best results from...
Thank you for your hard work and I hope this testimonial reflects just how happy I am with my smile. The care and attention which I received during my smile makeover was far better than any I have previously experienced. Kunal and his team were amazing throughout the entire process. I had regular check-ups throughout, and each time Kunal would make sure I was happy, not just with the work that had already taken place, but with the direction my smile was headed. Kunal engaged in discussion with me about each aspect making sure I fully understood what would happen and giving me the chance to have my own input. This combined with his vast knowledge and incredible skill left me feeling fully relaxed and in safe hands. Each step was performed in meticulous detail,...
Kunal is a very approachable, informative and meticulous dentist. From the beginning of my last Invisalign journey, Kunal explained the procedure very clearly and thoroughly. He showed me a 3D image and how my teeth would change throughout the treatment, the length of the treatment and the possible cons of it, such as black triangles and what can be done to minimize them. Kunal made it clear from the beginning that as a dentist his interest was the function of the teeth, better oral hygiene, the bite etc. I learned so much from him regarding my own teeth, that it was my bottom teeth that was causing the misalignment on my top teeth, l have gum recession due to excess brushing and l was in danger of losing two teeth due to it! Things my...
