Align Global Gallery

Invisalign Submission Option: Invisalign Comprehensive

Year: 2023	Difficulty Level: Advanced
Age: 29	Treatment Time: 2 years 6 months 8 days
Gender: Female

Dr. Eui seon Baek

14864

Invisalign Comprehensive

Patient Chief Concern
Lip protrusion, anterior protrusion, lip incompetency, crowding, and dental midline mismatch

What learning would you share with other Invisalign providers?
In cases where severe bi-alveolar protrusion and crowding are accompanied by lip incompetence, four-premolar extraction is mandatory. With absolute anchorage control, the G6 system delivers highly predictable and successful outcomes when supported by good patient compliance.

What contributed most to this treatment being successful?
The patient demonstrated excellent compliance, and the G6 attachment system achieved nearly perfect results with the primary order of Invisalign aligners alone.

Clinical Indications

Class II div 1
Crowding
Edge to edge bite
Facial/dental midline descrepancy
Mandibular midline deviation

In cases where severe bialveolar protrusion and crowding are accompanied by lip incompetence, four-premolar extraction is mandatory.

Modalities

Elastics: Vertical
Extraction
First Premolar extraction
IPR
Leveling Curve of Spee
Overtreatment
Retraction
Space Closure

Under absolute anchorage conditions, the G6 system is capable of producing outstanding results, including ideal root parallelism confirmed on panoramic radiographs, when supported by adequate patient compliance.

Treatment Information

Retainer: Vivera
Fixed wire retainer with Vivera.

Smartforce: Conventional and Optimized

Submission Process: iTero Scanner Element/5D

Length of Treatment: 30 months

Additional Aligners: 2

Number of Aligners:

	Initial	Additional	Total
Maxillary	80	37	117
Mandibular	80	37	117

Aligner Wear Time:

Images

Initial

Final

Progress

Radiographs

Initial Panorama

Final Panorama

Initial Lateral

Final Lateral

ClinCheck

Summary

A stable and precise Class I molar and canine relationship was established. The maxillary and mandibular midlines were perfectly coincident, and the resolution of lip incompetence enabled the patient to comfortably seal the lips.