Align Global Gallery

Invisalign Submission Option: Invisalign Comprehensive

Year: 2023	Difficulty Level: Advanced
Age: 30	Treatment Time: 2 years 2 months 11 days
Gender: Female

Dr. Eui seon Baek

15997

Invisalign Comprehensive

Patient Chief Concern
Crowding and scissor bite

What learning would you share with other Invisalign providers?
The indirect anchorage technique using TADs enhances the predictability of sequential distalization. Applying couple forces with an elastomeric chain is an effective method for controlling the rotation of two adjacent teeth.

What contributed most to this treatment being successful?
Achieving significant crowding relief in a non-extraction approach requires effective molar distalization. When the wisdom teeth are intact, extracting the second molars can be more advantageous than removing the wisdom teeth for achieving sequential distalization of the molars.

Clinical Indications

Anterior crossbite
Class I
Crowding
Deep bite
Ectopic
Mandibular midline deviation
Narrow arches
Rotations

Modalities

Distalization
Extraction
First Premolar extraction
Intrusion
IPR
Leveling Curve of Spee
Other extraction
TADs

Substituted the wisdom tooth for the second molar.

Treatment Information

Retainer: Vivera
Vivera retainer with fixed wire retainer

Smartforce: Conventional and Optimized

Submission Process: iTero Scanner Element/5D

Length of Treatment: 26 months

Additional Aligners: 2

Number of Aligners:

	Initial	Additional	Total
Maxillary	62	39	101
Mandibular	62	39	101

Aligner Wear Time: 1 week

Images

Initial

Final

Progress

Radiographs

Initial Panorama

Final Panorama

Initial Lateral

Final Lateral

ClinCheck

Summary

Class I molar and canine relationship was established. The upper and lower dental midlines are perfectly aligned, and the previously constricted arch form has been improved. The posterior scissors bite and the anterior crossbite have also been corrected.