Form | B-Align Clear Aligners

B-Align PRESCRIPTION

1. TREATED ARCHES

Upper Only Lower Only Both

2. B-Align PACKAGE

4- TOOTH MOVEMENT RESTRICTION

(Note: bridges, ankylosed teeth or implants not to be moved)

5- DO NOT PLACE ATTACHMENTS ON THESE TEETH

(Note: Crowns, labial or buccal restorations)

6. ANTERIOR - POSTERIOR (A-P) RELATIONSHIP

Maintain Improve canine relationship only Distalisation (up to 2 mm, without elastics) Improve canine & molar relationship up to 4 mm (using elastic and buttons with aligners) Correction to Class I (canine & molar)

7. SPACING RESOLUTION

Upper

Close all spaces Leave space/s. Specify where:

Lower

Close all spaces Leave space/s. Specify where:

8. CROWDING RESOLUTION

Upper

Procline

Primarily As needed None

Expand

Primarily As needed None

IPR Anterior

Primarily As needed None

IPR Posterior Right

Primarily As needed None

IPR Posterior Left

Primarily As needed None

Lower

Procline

Primarily As needed None

Expand

Primarily As needed None

IPR Anterior

Primarily As needed None

IPR Posterior Right

Primarily As needed None

IPR Posterior Left

Primarily As needed None

Lower Incisors Extraction

Primarily As needed None

9. PRE AESTHETIC TREATMENT

After aligner therapy I'm going to use veneer/laminate for upper anterior teeth. After aligner therapy I'm going to use veneer/laminate for lower anterior teeth.

10. ADDITIONAL INSTRUCTIONS

FILE UPLOAD

(Maximum file size for each file is 100 MB)

STL Files (.stl)

Clinical Photos (.jpg - .jpeg - .png)

5. Upper Occusal View

6. Lower Occusal View

7. Lateral View - Right

8. Lateral View - Left

10. Extra Oral - Front View (Wide Smile)

11. Extra Oral - Side View (With Smile)

12. Extra Oral - Front View (Without Smile)

Radiographic Images (.jpg - .jpeg - .png)

Bank Receipt (.jpg - .jpeg - .png)

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