Invisalign Submission Option: Invisalign Comprehensive

Year: 2022

Difficulty Level: Intermediate

Age: 29

Treatment Time: 2 years 3 months 23 days

Gender: Female

Dr. Keunchul Cho
11606

Invisalign Comprehensive

Patient Chief Concern
Deep bite, misaligned teeth

What learning would you share with other Invisalign providers?
Even if the anterior teeth are restored with laminate prostheses, Invisalign aligners can achieve excellent results. In severe deep bite cases, the issue can be resolved through anterior intrusion, and setting the bite to an edge-to-edge position helps prevent overbite relapse.

What contributed most to this treatment being successful?
In this patient, the maxillary six anterior teeth had been restored with laminates, and a severe deep bite was present. To address the deep bite, intrusion of both the maxillary and mandibular anterior teeth was planned. Buccal torque was applied to the maxillary and mandibular anterior teeth, which were inclined palatally and lingually, to achieve proper torque and overjet. In the final stage of the primary order, an edge-to-edge bite was established to prevent overbite relapse. Additionally, intermolar width was expanded to resolve crowding and improve the arch form.

Clinical Indications

  • Class I
  • Crowding
  • Deep bite
  • Rotations

Modalities

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

Treatment Information

Retainer: Wire retainer
Wire retainer (Upper : ABP type, Lower : Adams) with fixed bonded retainer
Smartforce: Conventional and Optimized
Submission Process: iTero Scanner Element/5D
Length of Treatment: 28 months
Number of Aligners:
Initial Additional Total
Maxillary 26 63 89
Mandibular 26 63 89
Aligner Wear Time: 1 week

Images

Initial
Final

Radiographs

Summary

Achieved Class I relationship, functional canine guidance on both sides, normal overjet and overbite, significant improvement of 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 aesthetic smile line.
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Per conubia nostra, per inceptos hime
Mauris in erat justom etone. Per conub
per inceptos hime naeos.

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