CDE0111

30 I I MICD _ Inman Aligner _The following article is Part II in a series dis- cussing the use of the Inman Aligner as a tool for MICD.1 The first article (published in cosmetic dentistry 2/10) demonstrated that standalone treat- ments offer patients an alternative to fixed braces, which are unsightly and have long treatment times, andtoexpensiveclearalignertreatmentsinsuitable cases. This article will demonstrate that patients who desireamoretraditionalsmilemakeovercanachieve beautiful results in a more progressive manner that allows them to make their choices along the way. This often results in virtually no removal of tooth structure and a treatment result with the responsi- bility of decision-making shared between dentist and patient. Moreover, the subject matter of this article could potentially start one of the most controversial de- batesincosmeticdentistryforyears.Wearenotonly discussing a radically different approach to smile makeovers, but critically a sharply different ap- proach to the traditional methods of planning smile design. _What would you choose? Patientsenteringcosmeticpracticesareoftenas- sessed at the initial consultation. They have digital photographs taken and perhaps study models are made. Normally, dental imaging software is used to show patients what can be achieved. These in- genious programmes can help patients realise what is possible. Naturally, care must always be taken when promising treatment results that are viewed digitally. While computer imaging can be a very powerful tool to help the patient see the potential in his/her smile, I believe it also can make a patient focus on a certainprescribedgoalthatmaynotbetheonlyway of satisfying his/her wishes. Dentists using imaging wouldideallycreateasetoffivetotendifferentout- cosmeticdentistry 1_2011 Fig. 2Fig. 1 Fig. 4 Fig. 3 The InmanAligner—Alignment, bleaching,bonding:Aprogressive approach to smile design (Part II) Author_ Dr Tif Qureshi, UK