Invisalign Submission Option: Invisalign First

Year: 2022

Difficulty Level: Advanced

Age: 8

Treatment Time: 1 year 8 months 27 days

Gender: Male

Dr. Yoonkwan Kwon
10605

Invisalign First

Patient Chief Concern
Dental crowding of anterior tooth and impaction of upper left canine

What learning would you share with other Invisalign providers?
It may be difficult to tract the impacted canine during aligner treatment. But successful treatment is possible at the same time if you consider utilizing aligner as an anchorage.

What contributed most to this treatment being successful?
The most difficult and successful part was obtaining an anchorage necessary for traction of impacted maxillary canine from aligner and stably moving the impacted canine to the correct position. I made button cut-out and attached lingual button on primary first molars. Unwanted movement may occur in the primary molars that connect the power chain between the impacted canines and the primary molars, but no side effects have occurred due to the aligner.

Clinical Indications

  • Anterior crossbite
  • Class I
  • Crowding
  • Ectopic
  • Impacted canines
  • Mandibular midline deviation

Modalities

  • Proclination
Closed technique - uncovering the left maxillary canine and attaching lingual button and closing flap

Treatment Information

Retainer: Fixed/Bonded
Smartforce: Conventional and Optimized
Submission Process: iTero Scanner Element/5D
Length of Treatment: 21 months
Additional Aligners: 2
Number of Aligners:
Initial Additional Total
Maxillary 28 40 68
Mandibulary 28 26 54
Aligner Wear Time: 1 week

Images

Initial
Final
Progress

Radiographs

Summary

The upper and lower incisors are perfectly aligned with dental midline correction, and space for the successive teeth to erupt is obtained. The mesially impacted maxillary left and right canines are placed in the correct position on the panoramic radiograph.
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Per conubia nostra, per inceptos hime
Mauris in erat justom etone. Per conub
per inceptos hime naeos.

Where to find us

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