Align Global Gallery

Invisalign Submission Option: Invisalign Comprehensive

Year: 2020	Difficulty Level: Intermediate
Age: 29	Treatment Time: 1 year 7 months 8 days
Gender: Female

Dr. Keunchul Cho

11592

Invisalign Comprehensive

Patient Chief Concern
Malocclusion

What learning would you share with other Invisalign providers?
Invisalign aligners are an effective tool for expansion, rotation, and achieving a proper arch form.

What contributed most to this treatment being successful?
Expansion and interproximal reduction (IPR) were performed to create additional space for tooth alignment. #31 was significantly displaced out of the arch with severe labio-version. IPR, rotation and torque adjustments were completed to achieve proper arch alignment. Additionally, Class II elastics were used because the patient had a severe Class II tendency.

Clinical Indications

Class II div 1
Crowding
Facial/dental midline descrepancy
Maxillary midline deviation
Rotations

Vertical facial pattern, skeletal Class II relationship, severe mandibular retrognathia

Modalities

Elastics: Class II
Extrusion
IPR

Treatment Information

Retainer: Wire retainer
Wire retainer with bonded fixed retainer

Smartforce: Conventional and Optimized

Submission Process: iTero Scanner Element/5D

Length of Treatment: 19 months

Additional Aligners: 1

Number of Aligners:

	Initial	Additional	Total
Maxillary	14	23	37
Mandibular	16	9	25

Aligner Wear Time: 1 week

Images

Initial

Final

Radiographs

Initial Panorama

Final Panorama

Initial Lateral

Final Lateral

ClinCheck

Summary

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