{"id":4912,"date":"2025-05-07T14:53:48","date_gmt":"2025-05-07T14:53:48","guid":{"rendered":"https:\/\/ormcoeurope.com\/ro\/?p=4912"},"modified":"2025-05-09T12:26:33","modified_gmt":"2025-05-09T12:26:33","slug":"case-report-spark-treatment-in-adult-patient-with-increased-overbite-gummy-smile-and-moderate-crowding","status":"publish","type":"post","link":"https:\/\/ormcoeurope.com\/ro\/case-report-spark-treatment-in-adult-patient-with-increased-overbite-gummy-smile-and-moderate-crowding\/","title":{"rendered":"Spark-Treatment in adult patient with increased overbite, gummy smile, and moderate crowding"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_section][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]<span class=\"text-dark-grey\">CASE REPORT<\/span><\/p>\n<h2><span class=\"text-spark\">Spark: Treatment in adult patient with increased overbite, gummy smile, and moderate crowding<\/span><\/h2>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]This article describes a treatment with spark aligners performed in a 52-year-old patient, who presented at\u00a0the time of consultation with an increased overbite,\u00a0moderate crowding in both arches, gingival smile and\u00a0a clear alteration in the color of the enamel due to environmental factors.[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;]<div class=\"before-after\"><div class=\"ba-slider\" data-component=\"ba-slider\">\n                                <div class=\"slider\">\n                                    <label for=\"slider-range\" class=\"slider-label\">Move image comparison slider<\/label>\n                                    <input type=\"range\" min=\"0\" max=\"100\" value=\"50\" class=\"slider-range\" id=\"slider-range\" data-ba-range=\"\">\n                                    <div class=\"slide slide--overlay\" data-ba-overlay=\"\">\n                                         <figure class=\"slide-figure slide-figure--overlay\">\n                                            <img loading=\"lazy\" decoding=\"async\" width=\"1460\" height=\"730\" src=\"https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2025\/05\/01-Before-1-1460x730.jpg\" class=\"attachment-before-after size-before-after\" alt=\"\" \/>\n                                            <figcaption class=\"slide-caption slide-caption--before\">\n                                                  <span>BEFORE<\/span>\n                                             <\/figcaption>\n                                         <\/figure>\n                                    <\/div>\n                                    <div class=\"slide-toggle\" data-ba-toggle=\"\">\n                                        <span class=\"slide-thumb\">\n                                           <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"18\" height=\"10\"\n                                                viewBox=\"0 0 18 10\" fill=\"#fff\">\n                                              <path d=\"M12.121 4.703V.488c0-.302.384-.454.609-.24l4.42 4.214a.33.33 0 0 1 0 .481l-4.42 4.214c-.225.215-.609.063-.609-.24V4.703z\"><\/path>\n                                              <path d=\"M5.879 4.703V.488c0-.302-.384-.454-.609-.24L.85 4.462a.33.33 0 0 0 0 .481l4.42 4.214c.225.215.609.063.609-.24V4.703z\"><\/path>\n                                           <\/svg>\n                                        <\/span>\n                                    <\/div>\n                                    <div class=\"slide\">\n                                       <figure class=\"slide-figure\">\n                                            <img loading=\"lazy\" decoding=\"async\" width=\"1460\" height=\"730\" src=\"https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2025\/05\/02-After-2-1460x730.jpg\" class=\"attachment-before-after size-before-after\" alt=\"\" \/>\n                                            <figcaption class=\"slide-caption slide-caption--after\">\n                                                <span>AFTER<\/span>\n                                            <\/figcaption>\n                                        <\/figure>\n                                    <\/div>\n                                <\/div>\n                           <\/div><\/div>[\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_widget_sidebar sidebar_id=&#8221;actualidad&#8221;][vc_btn title=&#8221;Go to case report gallery&#8221; style=&#8221;btn&#8221; color=&#8221;secondary&#8221; align=&#8221;center&#8221; i_icon_fontawesome=&#8221;fas fa-th&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; add_icon=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Formcoeurope.com%2Fro%2Fcase-reports%2F|title:Case%20reports&#8221;][\/vc_column][\/vc_row][\/vc_section][vc_section][vc_row][vc_column][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1713437392169{background-color: #66615f !important;}&#8221;][vc_row equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221; el_class=&#8221;wpb_text_column&#8211;white&#8221;]<strong>Dr. Ignacio Arias Ambel*, Spain<\/strong><\/p>\n<p>Leading with his passion for orthodontics and aesthetics, demanding the best at every turn for his patients Dr. Ignacio Arias Ambel has been involved and curious about the new technologies and advances in orthodontics for 10 years exclusively. He directs his orthodontic practice toward efficiency, the simplification of the treatment and the reduction of treatment times.<\/p>\n<ul>\n<li>Degree in Dentistry, Alfonso X El Sabio University (Spain)<\/li>\n<li>Master in Orthodontics, Polytechnic University of Catalonia (Spain)<\/li>\n<li>Master in Aesthetics, Complutense University of Madrid (Spain)<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4919&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][\/vc_section][vc_section][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715327738194{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4920&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715327749675{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4921&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221; onclick=&#8221;link_image&#8221; css=&#8221;.vc_custom_1746792307263{margin-right: 0px !important;margin-left: 0px !important;}&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715327758910{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4922&#8243; img_size=&#8221;full&#8221; alignment=&#8221;right&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row gap=&#8221;1&#8243;][vc_column width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1715327937047{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4923&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1715327928385{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4924&#8243; img_size=&#8221;full&#8221; alignment=&#8221;right&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][\/vc_section][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3><span class=\"text-spark-orange\">Description of treatment plan<\/span><\/h3>\n<p><span class=\"text-dark-grey\">The protocol applied for the present treatment plan was based on the transversal development of the arches at the expense of expansion at the expense of correction of posterior and anterior torques in the following way:<\/span><\/p>\n<ul class=\"style--spark-orange\">\n<li><span class=\"text-dark-grey\">Bilateral expansion of the upper arch taking as reference the transversal position of the upper 2nd molars, together with the mesial-out rotation of the first molars.<br \/>\n<\/span><\/li>\n<li><span class=\"text-dark-grey\">Correction of the inclination of the upper incisors at the expense of proinclination and radicular-lingual torque.<br \/>\n<\/span><\/li>\n<li><span class=\"text-dark-grey\">Transversal adaptation of the lower arch to the new position defined by the expansion of posterosuperior teeth.<br \/>\n<\/span><\/li>\n<li><span class=\"text-dark-grey\">Rotation of rotated teeth was delayed until interproximal spaces were generated at the expense of pro-inclination.<\/span><\/li>\n<\/ul>\n<p><span class=\"text-dark-grey\">BiteRamps were added on upper teeth 2-2 to assist the programmed intrusion movement of both\u00a0<\/span><span class=\"text-dark-grey\">anterior sectors (upper and lower). A Spark20 treatment plan was chosen using all active aligners and TruGen material and aligner replacement every 7 days.<\/span>[\/vc_column_text][vc_empty_space height=&#8221;80px&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1713438310397{background-color: #f2f2f2 !important;}&#8221;][vc_column][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1715330754398{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4928&#8243; img_size=&#8221;full&#8221; add_caption=&#8221;yes&#8221; onclick=&#8221;link_image&#8221; css=&#8221;.vc_custom_1746793251654{padding-top: 0px !important;padding-bottom: 0px !important;}&#8221; el_class=&#8221;no-margin&#8221;][vc_column_text css=&#8221;&#8221;]<strong><span class=\"text-spark\">Final position primary order<\/span><\/strong>[\/vc_column_text][vc_empty_space][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1715330743388{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4929&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221; el_class=&#8221;no-margin&#8221;][vc_column_text css=&#8221;&#8221;]<strong><span class=\"text-spark\">Initial position refinement<\/span><\/strong>[\/vc_column_text][vc_empty_space][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1715330754398{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4930&#8243; img_size=&#8221;full&#8221; add_caption=&#8221;yes&#8221; onclick=&#8221;link_image&#8221; css=&#8221;.vc_custom_1746793297067{padding-top: 0px !important;padding-bottom: 0px !important;}&#8221; el_class=&#8221;no-margin&#8221;][vc_column_text css=&#8221;&#8221;]<strong>Frontal view first refinement\u00a0<\/strong>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1715330743388{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4931&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221; el_class=&#8221;no-margin&#8221;][vc_column_text css=&#8221;&#8221;]<strong>Lateral view first refinement\u00a0<\/strong>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3><span class=\"text-spark-orange\">Refinement<\/span><\/h3>\n<p>At the end of the primary treatment plan the patient returns to the office and we can see that, although the vertical plan has been favored thanks to the planned movements, the midlines are centered, and the crowding has improved notably and with it the periodontal status of the patient.<\/p>\n<p>One of the Aligners Therapy\u2018s perks to success is having the chance to re-evaluate the case after each phase, understand the compliance of the patient, learn what was achieved and what can be improved to deliver the best functional and aesthetic outcome to the life of the patient.<\/p>\n<p>In fact, when the torque correction of posterior sectors was expressed, some palatal cusps descended more than desired, which generated a scarce lateral perspective of stable occlusion, for which the refinement was planned in the following way:<\/p>\n<ul class=\"style--spark-orange\">\n<li>Attachments were added on upper central incisors to improve their intermediate position and the rest of the Attachments that were in perfect condition were maintained (this being a great advantage in the Spark system).<\/li>\n<li>Unlike the primary treatment plan, movements were applied to posterior 7s and 8s to favor the occlusal settlement from the most posterior sector and allow the mandibular repositioning in a stable and natural way.<\/li>\n<li>Posterior torque correction movements were applied to position the palatal cusps in working function against the antagonist surfaces.<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_section][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3><span class=\"text-spark-orange\">Final records<\/span><\/h3>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715331339080{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4932&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715331347406{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4933&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1715331368722{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4934&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1715331339080{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4935&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1715331347406{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4936&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column css=&#8221;.vc_custom_1715331339080{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4938&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css_animation=&#8221;none&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][\/vc_column][\/vc_row][\/vc_section][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3><span class=\"text-spark-orange\">Conclusion<\/span><\/h3>\n<p>After 8 months of the primary treatment plan and the refinement, it was possible to observe a fulfillment of the objectives demanded by the patient and clinically marked at the time of the initial diagnosis.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]<span class=\"text-small\">* Dr. Ignacio Arias Ambel is a paid consultant for Ormco. The opinions expressed are those of Dr. Ignacio Arias Ambel. Ormco is a medical device manufacturer and does not dispense medical advice. Clinicians should use their own professional judgment intreating their patients.<\/span>[\/vc_column_text][vc_row_inner][vc_column_inner][vc_empty_space height=&#8221;40px&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_section][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]CASE REPORT Spark: Treatment in adult patient with increased overbite, gummy smile, and moderate crowding [\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][vc_column_text css=&#8221;&#8221;]This article describes a treatment with spark aligners performed in a 52-year-old patient, who presented at\u00a0the time of consultation with an increased overbite,\u00a0moderate crowding in both arches, gingival smile and\u00a0a clear alteration in the color of [&hellip;]<\/p>\n","protected":false},"author":45,"featured_media":4913,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[43],"tags":[],"class_list":["post-4912","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-spark-clear-aligners"],"acf":[],"_links":{"self":[{"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/posts\/4912","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/users\/45"}],"replies":[{"embeddable":true,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/comments?post=4912"}],"version-history":[{"count":4,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/posts\/4912\/revisions"}],"predecessor-version":[{"id":4939,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/posts\/4912\/revisions\/4939"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/media\/4913"}],"wp:attachment":[{"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/media?parent=4912"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/categories?post=4912"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/tags?post=4912"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}