Invisalign Submission Option: Invisalign Lite

Year: 2022

Difficulty Level: Initiator

Age: 21

Treatment Time: 1 year 7 months 16 days

Gender: Female

Dr. Keunchul Cho
11238

Invisalign Lite

Patient Chief Concern
Rotation of incisors

What learning would you share with other Invisalign providers?
Invisalign aligners are a highly effective tool for arch form alignment. The application of IPR can help with tooth rotation. Initially stable posterior occlusion can be preserved throughout the treatment with Invisalign Lite.

What contributed most to this treatment being successful?
Despite being a non-extraction case, a successful treatment outcome was achieved with Invisalign Lite. The anterior teeth were well-controlled without proclination by increasing intercanine width. Mild open bite was resolved by extrusion of anterior teeth. Additionally, the initially stable posterior occlusion was designed to be preserved throughout the treatment.

Clinical Indications

  • Crowding
  • Edge to edge bite
  • Rotations
Skeletal A-P Relationship : Class II, Molar Relationship : Class I

Modalities

  • Elastics: Vertical
  • Extrusion
  • IPR
To settle the occlusion, the vertical elastics were used. The first vertical elastic was used on right premolars and molars [ (1) triangular: upper 4, lower 4-5 (2) inverted triangular: upper 5-6, lower 6]. The second vertical elastic was used on premolars (8 days after using first vertical elastic) [box: upper & lower 4-5].

Treatment Information

Retainer: Other clear
Smartforce: Optimized
Submission Process: iTero Scanner Element/5D
Length of Treatment: 19 months
Additional Aligners: 1
Number of Aligners:
Initial Additional Total
Maxillary 14 14 28
Mandibular 14 14 28
Aligner Wear Time: 2 weeks

Images

Initial
Final

Radiographs

Summary

Achieved Class I relationship, functional canine guidance on both sides, normal overjet and overbite, midlines coincident, proper axial inclination of incisors, curve of Spee leveled, arches aligned and coordinated, alignment of both arches through derotation, arch form improved, and aesthetic smile line.
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