Invisalign Submission Option: Invisalign Comprehensive

Year: 2023

Difficulty Level: Advanced

Age: 27

Treatment Time: 1 year 11 months 15 days

Gender: Male

Dr. Keunchul Cho
15404

Invisalign Comprehensive

Patient Chief Concern
Openbite, Malocclusion

What learning would you share with other Invisalign providers?
Even in severe skeletal Class III and open bite cases, which are difficult to treat with traditional bracket-based orthodontics, successful treatment can be achieved using Invisalign. By controlling the individual movement of each tooth and simultaneously optimizing the occlusal plane, Invisalign allows for an effective and efficient treatment approach.

What contributed most to this treatment being successful?
The patient presented with a severe skeletal Class III malocclusion accompanied by a significant open bite. However, the patient was strongly opposed to undergoing surgery, leading to the decision to proceed with camouflaged treatment. There were three major factors that contributed to the successful outcome of this case: First, the advantage of Invisalign in altering the occlusal plane, combined with Class III elastics, played a crucial role. Second, Invisalign’s ability to control the position of each individual tooth allowed for highly customized tooth movements. Third, the intrusion of the posterior teeth was effectively achieved using ghost attachments placed on the occlusal surfaces of the molars. This was a case that would have been extremely difficult—if not nearly impossible—to treat using traditional braces. However, through Invisalign, it was successfully managed.

Clinical Indications

  • Anterior crossbite
  • Class III
  • Crowding
  • Mandibular midline deviation
  • Open bite (Post/Ant)
  • Rotations
  • Spacing

Modalities

  • Distalization
  • Elastics: Class III
  • Extrusion
  • Intrusion
  • IPR
  • Leveling Curve of Spee
  • Overtreatment
  • Retraction

Treatment Information

Retainer: Other clear
Smartforce: Conventional and Optimized
Submission Process: iTero Scanner Element/5D
Length of Treatment: 23 months
Additional Aligners: 2
Number of Aligners:
Initial Additional Total
Maxillary 27 73 100
Mandibular 27 73 100
Aligner Wear Time: 1 week

Images

Initial
Final

Radiographs

Summary

-Class I relationship achieved -Functional canine guidance on both sides -Normal overjet and overbite achieved -Significant improvement of overbite -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 -All treatment goals were achieved case -Harmonic arches were achieved
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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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