Invisalign Submission Option: Invisalign Comprehensive

Year: 2022

Difficulty Level: Intermediate

Age: 23

Treatment Time: 2 years 9 days

Gender: Male

Dr. Keunchul Cho
12462

Invisalign Comprehensive

Patient Chief Concern
Misaligned teeth

What learning would you share with other Invisalign providers?
Invisalign is orthodontic appliance that can effectively achieve both arch expansion and proper torque of teeth For patients with a severe deep bite, to prevent relapse, the intrusion of the anterior teeth can be overcorrected to an edge-to-edge relationship, and the molar occlusion can be designed to be strong.

What contributed most to this treatment being successful?
The patient presented with a narrow arch and teeth were displaced from the arch alignment with rotation. Additionally, both the maxillary and mandibular canines and posterior teeth were severely inclined lingually. The treatment plan included arch expansion in both arches. For lingually inclined teeth, buccal torque was applied to achieve proper torque. Due to the presence of a deep bite, anterior intrusion and posterior extrusion were performed. By the time the final stage of the primary order was reached, the overbite had been overcorrected toward an edge-to-edge relationship, and the posterior occlusion was designed to be settled.

Clinical Indications

  • Crowding
  • Deep bite
  • Mandibular midline deviation
  • Narrow arches
  • Rotations

Modalities

  • Extrusion
  • Intrusion
  • IPR
  • Leveling Curve of Spee
  • Overtreatment

Treatment Information

Retainer: Wire retainer
Wire retainer with bonded fixed retainer
Smartforce: Conventional and Optimized
Submission Process: iTero Scanner Element/5D
Length of Treatment: 24 months
Additional Aligners: 2
Number of Aligners:
Initial Additional Total
Maxillary 47 34 81
Mandibular 47 34 81
Aligner Wear Time: 1 week

Images

Initial
Final

Radiographs

Summary

Achieved Class I relationship, functional canine guidance on both sides. normal overjet and overbite, midline coincidence, proper axial inclination of incisors, proper torque of teeth which were initially severely lingually inclined, Curve of Spee leveled, arches aligned and coordinated, alignment of both arches through derotation, arch form improved, and an esthetic 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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