Invisalign Submission Option: Invisalign Comprehensive

Year: 2022

Difficulty Level: Advanced

Age: 22

Treatment Time: 2 years 6 months 18 days

Gender: Male

Dr. DongHyuk Im
13174

Invisalign Comprehensive

Patient Chief Concern
Crowding and midline deviation

What learning would you share with other Invisalign providers?
Patient was very compliant wearing Invisalign aligners and intermaxillary Class II elastics.

What contributed most to this treatment being successful?
Patient had a Class II profile, retrognathic mandible and slight facial asymmetry. There was a space deficiency 2.0mm right side and 7.5mm left side on the upper dentition. After extraction of four third molars, Sequential distalization of upper molars, using Class II elastics, was completed without mini-implants. IPR was performed on the upper anteriors and lower right anteriors to relieve crowding.

Clinical Indications

  • Asymmetric arches
  • Class II div 2
  • Crowding
  • Facial/dental midline descrepancy
  • Mandibular midline deviation

Modalities

  • Distalization
  • Elastics: Class II
  • IPR

Treatment Information

Retainer: Wire retainer
Additional Hawley retainer (upper and lower)
Smartforce: Conventional and Optimized
Submission Process: iTero Scanner Element/5D
Length of Treatment: 30 months
Additional Aligners: 1
Number of Aligners:
Initial Additional Total
Maxillary 90 27 117
Mandibular 90 27 117
Aligner Wear Time: 1 week

Images

Initial
Final

Summary

Achieved Class I canine and molar relationship, arches aligned and coordinated, midline coordinated, esthetic smile line achieved, and Curve of Spee leveled.
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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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