Align Global Gallery

Invisalign Submission Option: Invisalign Comprehensive

Year: 2023	Difficulty Level: Advanced
Age: 37	Treatment Time: 1 year 8 months 21 days
Gender: Female

Dr. Carlos Carvalho

11281

Invisalign Comprehensive

Patient Chief Concern
Open Bite

What learning would you share with other Invisalign providers?
An open bite can be challenging to treat. Analyzing the initial case including radiographs to determine the type of movement required and whether it would be possible to perform relative intrusion (high predictability) was essential for a good result.

What contributed most to this treatment being successful?
Relative extrusion, optimized extrusion anterior and posterior intrusion

Clinical Indications

Class I
Crowding
Narrow arches
Open bite (Post/Ant)

Modalities

Elastics: Class II
Extrusion
Intrusion
IPR

Treatment Information

Retainer: Wire retainer

Smartforce: Optimized

Submission Process: iTero Scanner Element/5D

Length of Treatment: 21 months

Additional Aligners: 2

Number of Aligners:

	Initial	Additional	Total
Maxillary	36	36	72
Mandibulary	36	36	72

Aligner Wear Time: 1 week

Images

Initial

Final

Radiographs

Initial Panorama

Final Panorama

Initial Lateral

Final Lateral

Summary

In the primary Invisalign treatment, posterior expansion with attachments G8 and anterior extrusion with optimized extrusion attachments was performed. Two Additional Aligner orders were used for anterior extrusion and, in the second, posterior intrusion was performed. Through these clinical maneuvers, we successfully completed and achieved all objectives.