Invisalign Submission Option: Invisalign First

Year: 2023

Difficulty Level: Initiator

Age: 7

Treatment Time: 1 year 6 months 11 days

Gender: Male

Dr. Keunchul Cho
11744

Invisalign First

Patient Chief Concern
Diastema

What learning would you share with other Invisalign providers?
The aligner is a highly effective tool for maxillary expansion and arch alignment. IPR can be performed to more effectively resolve the diastema.

What contributed most to this treatment being successful?
The patient had a diastema between 1.1 and 2.1, and there was a lack of space for the eruption of permanent teeth in both the maxilla and mandible. Additionally, all four maxillary incisors exhibited improper torque and angulation, and the patient also had a deep bite. In the mandible, rotation of the lateral incisors had occurred, resulting in the four anterior teeth being aligned in a straight line. Arch expansion was performed in both the maxilla and mandible, with a focus on adjusting the angulation and torque of the anterior teeth. To more effectively reduce the diastema during the second phase of treatment, slight IPR was performed between 1.1 and 2.1 before taking a scan for the second set of aligners.

Clinical Indications

  • Crowding
  • Deep bite
  • Increased overjet
  • Narrow arches
  • Rotations
  • Spacing

Modalities

  • Distalization
  • IPR
  • Leveling Curve of Spee
  • Palatal Expansion

Treatment Information

Retainer: Invisalign Aligner
Length of Treatment: 18 months
Additional Aligners: 1
Number of Aligners:
Initial Additional Total
Maxillary 31 16 47
Mandibular 31 16 47
Aligner Wear Time: 5 days

Images

Initial
Final

Radiographs

Summary

-Class I relationship achieved -Space for eruption of permanent tooth has been ensecured -Diastema has been resolved -Normal overjet and overbite achieved -Midline coincidence -Proper axial inclination of incisors -Curve of Spee leveled -Arches aligned and coordinated -Alignment of both arches through derotation -Arch form improved -Aesthetic smile line was achieved -Harmonic arches were achieved -Four anterior permanent teeth of both arches have been well-aligned
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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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