Align Global Gallery

Invisalign Submission Option: Invisalign Smile Architect®

Difficulty Level: Intermediate	Age: 61
Treatment Time: 10 months 1 day	Gender: Male

Dr. Cielo I Bautista Rojas

13734

Invisalign Smile Architect®

Patient Chief Concern
Gaps between the teeth and fractures

What learning would you share with other Invisalign providers?
Patient engagement and treatment coordination by the orthodontist and prosthodontist.

What contributed most to this treatment being successful?
The Invisalign aligners and treatment planning contributed most to this treatment being successful.

Clinical Indications

Edge to edge bite
Rotations
Spacing

The objective was to obtain horizontal and vertical overbite and spacing between the anteriors for the restorative treatment. All posterior teeth were restricted from movement to support anchorage.

Modalities

Intrusion
IPR
Proclination
Restorative
Retraction
Space Closure

IPR from mesial 4.5 to mesial 3.5 with the goal of anterior retraction to create an anterior overbite and allow for upper anterior restorations. 1 mm intrusion from 1.1, anterior retraction from 1.3 to 2.3, leaving 0.5 mm at distal 1.2 and 2.2. and Intrusion from 3.3 to 4.3. Eliminate heavy anterior contacts.

Treatment Information

Retainer: Other clear

Smartforce: Conventional

Submission Process: iTero Scanner Element/5D
The patient's commitment helped achieve the objectives in one phase; upon completing the 26 aligners, the patient was referred for rehabilitation and assessment of the requested spaces. The Invisalign aligners were used on time and only IPR was reinforced in the lower anterior sector.

Length of Treatment: 10 months

Number of Aligners:

	Initial	Additional	Total
Maxillary	13	0	13
Mandibular	19	0	19

Aligner Wear Time: 1 week

Images

Initial

Final

Post

Radiographs

Initial Panorama

Final Panorama

Initial Lateral

Final Lateral

Summary

Eliminated strong anterior contacts, proper distribution from 2.2 to 1.2. Intrusion of 1.2 to allow for restoration, obtained the correct space between the anteriors. Mandibular intrusion and retraction to create a better overjet and overbite for the prosthodontist.