Mixed messages

The sole concern of your new patient, Jim, is his rotated maxillary right lateral incisor. He is otherwise content with his occlusal status. You suggest addressing this objective with a few aligners. He readily agrees, but advises you that his general dentist had delivered a maxillary full coverage night guard 2 months ago to address his bruxing habit, and he doesn't want to pay for a replacement. "No problem," you say. "Once we correct the tooth, we'll modify the night guard to accommodate the new position of the tooth so you can wear that night guard." You advise him to bring the night guard to the aligner delivery appointment so you can look at it.

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