Invisalign Submission Option: Invisalign Comprehensive

Year: 2023

Difficulty Level: Advanced

Gender: Female

Dr. Shuichiro Okano
9133

Invisalign Comprehensive

Clinical Indications

  • Anterior crossbite
  • Asymmetric arches
  • Class II div 1
  • Crowding
  • Maxillary midline deviation
  • Midline shift
  • Open bite
  • Rotations

Modalities

  • Distalization
  • Elastics: Class II
  • Expansion
  • Extrusion

Treatment Information

Retainer: Fixed/Blonded
Smartforce:
Submission Process: Intra-oral scan
Length of Treatment: 11 months
Number of Aligners:
Initial Additional Total
Maxillary 21 17 38
Mandibulary 13 17 30
Aligner Wear Time: 1 week

Images

Initial
Final
Progress

Radiographs

Summary

Results achieved
  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overbite
  • Midlines coincident
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved
Comments
  • The upper midline was shifted 3.0mm to the left.
  • Staging of distalization used simultaneous movements.
  • The treatment period for initial aligners was 7 months.
  • Initial aligners: continued using Class II elastics (3/16 inch, 6.5 OZ ) on the left side.
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Per conubia nostra, per inceptos hime
Mauris in erat justom etone. Per conub
per inceptos hime naeos.

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