Invisalign Submission Option: Invisalign Comprehensive

Year: 2021

Difficulty Level: Intermediate

Age: 16

Treatment Time: 2 years 4 months 12 days

Gender: Female

Dr. Keunchul Cho
11464

Invisalign Comprehensive

Patient Chief Concern
Spacing, protruded maxillary incisors

What contributed most to this treatment being successful?
The patient had a severe deep bite, protrusion of the maxillary anterior teeth, and significant spacing between the central incisors. However, excellent treatment results were achieved by using bite ramps, anterior intrusion, and torque control of the maxillary anterior teeth.

Clinical Indications

  • Narrow arches
  • Rotations
  • Spacing
Skeletal A-P relationship: Class II, Skeletal Vetical Relationship: hypo, Severe deep bite, Severely large overjet, Severe spacing, #14,44 scissor bite

Modalities

  • Distalization
  • Elastics: Class II
  • Intrusion
  • Leveling Curve of Spee

Treatment Information

Retainer: Other clear
Clear retainer with bonded fixed retainer
Smartforce: Conventional and Optimized
Submission Process: iTero Scanner Element/5D
Length of Treatment: 28 months
Additional Aligners: 2
Number of Aligners:
Initial Additional Total
Maxillary 25 69 94
Mandibular 32 69 101
Aligner Wear Time: 10 days

Images

Initial
Final

Radiographs

Summary

Achieved Class I relationship, functional canine guidance on both sides, protruded maxillary incisors have been retracted successfully, significant improvement of overjet and overbite, midline coincidence, proper axial inclination of incisors, Curve of Spee leveled, arch expansion, arches aligned and coordinated, alignment of both arches through derotation, arch form improved, and aesthetic smile line.
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