Invisalign Submission Option: Invisalign Comprehensive

Year: 2023

Difficulty Level: Advanced

Age: 26

Treatment Time: 1 year 8 months 23 days

Gender: Male

Dr. Eui seon Baek
11706

Invisalign Comprehensive

Patient Chief Concern
Crowding and limited masticatory function (cheek biting)

What learning would you share with other Invisalign providers?
In cases where skeletal arch expansion is required, first perform arch expansion and then use Invisalign aligners to prioritize treatment predictability. In this case, the expansion was successful, and the treatment was a success.

What contributed most to this treatment being successful?
The patient had crowding and limited masticatory function. The most significant chief complaint was the cheek biting. As an adult patient, there was a limit to arch expansion with aligners alone. Therefore, MSE was used before the Invisalign treatment. Afterward, Invisalign aligners were to achieve excellent overjet (OJ), overbite (OB), and ideal occlusion.

Clinical Indications

  • Asymmetric arches
  • Class I
  • Facial/dental midline descrepancy
  • Narrow arches
  • Posterior crossbite

Modalities

  • IPR
  • Palatal Expansion
  • TADs

Treatment Information

Retainer: Vivera
vivera with fixed retainer
Smartforce: Conventional and Optimized
Submission Process: iTero Scanner Element/5D
Length of Treatment: 21 months
Additional Aligners: 2
Number of Aligners:
Initial Additional Total
Maxillary 49 19 68
Mandibular 49 19 68
Aligner Wear Time: 1 week

Images

Initial
Final
Progress
Post

Radiographs

Summary

When there are skeletal issues, I often perform treatments involving MSE or orthognathic surgery. The appropriate combination of treatment plans can lead to excellent treatment outcomes. Note: This treatment was completed with a conventional palatal expander device and then with Invisalign aligners. In adults, the Invisalign Palatal Expander System may be used in conjunction with surgery or other interventions when necessary.
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