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Invisalign Submission Option: Invisalign Comprehensive

Difficulty Level: Advanced

Gender: Male

Dr. Eui seon Baek

10060

Invisalign Comprehensive

Patient Chief Concern
The main chief complaint was facial asymmetry. His mandible was shifted to the right side and he wanted a two-jaw surgery. He desired to proceed with the surgery first for a quicker facial change, and then undergo post-surgical orthodontic treatment with Invisalign aligners.

Clinical Indications

Class I
Crowding
Narrow arches
Rotations

There is skeletal asymmetry with a mandibular shift to the right side.

Modalities

Expansion

2 Jaw surgery first and then post-surgical orthodontic treatment with Invisalign aligners.

Treatment Information

Retainer: Wire retainer

Smartforce:

Submission Process: Intra-oral scan

Length of Treatment: 15 months

Additional Aligners: 2

Number of Aligners:

	Initial	Additional	Total
Maxillary	23	34	57
Mandibular	23	34	57

Aligner Wear Time: 10 days

Images

Initial

Final

Progress

ClinCheck

Summary

It was decided to use a surgery-first approach in collaboration with the OMFS doctor using STO. The surgery-first approach was performed. 2 Jaw surgery is performed first, and then Invisalign aligners were used to finish the treatment. When treating "surgery first", it is very important to make a ClincCheck treatment plan to anticipate the bite after surgery. Collaborative care with OMFS was important in this process. The first set of aligners were made in anticipation of the post-operative bite worked well. The final successful treatment was achieved with 2 times of AAs.