Align Global Gallery

Invisalign Submission Option: Invisalign Comprehensive

Year: 2023	Difficulty Level: Advanced
Age: 13	Treatment Time: 12 months 5 days
Gender: Female

Dr. Sangsu An

11070

Invisalign Comprehensive

Patient Chief Concern
high canine, crowding, congenital missing on 3.2,4.2.

What learning would you share with other Invisalign providers?
TADs are essential for achieving maximum anchorage. Additionally, the challenge of high canines was resolved by placing appropriately designed attachments.

Clinical Indications

Class I
Crowding
Ectopic
Facial/dental midline descrepancy
Increased overjet
Spacing

3.2, 4.2 Congenital missing

Modalities

Elastics: Class II
Extraction
Leveling Curve of Spee
Space Closure
TADs

Treatment Information

Retainer: Vivera
with wire fixed retainer.

Smartforce: Conventional and Optimized

Submission Process: iTero Scanner Element/5D

Length of Treatment: 12 months

Additional Aligners: 1

Number of Aligners:

	Initial	Additional	Total
Maxillary	36	8	44
Mandibular	36	8	44

Aligner Wear Time: 1 week

Images

Initial

Final

Progress

Radiographs

Initial Panorama

Final Panorama

Initial Lateral

Final Lateral

ClinCheck

Summary

In this case, 3.2 and 4.2 were congenitally missing and treatment involved the extraction of 1.4 and 2.4. During this process, TADs were utilized for maximum upper anchorage. Despite the unilateral extractions, a favorable occlusion was achieved.