Align Global Gallery

Invisalign Submission Option: Invisalign Comprehensive

Year: 2024	Difficulty Level: Advanced
Age: 12	Treatment Time: 2 years 16 days
Gender: Female

Thi Minh Huong Doan

16368

Invisalign Comprehensive

Patient Chief Concern
The patient presented with flared upper incisors, dental crowding in both arches, and narrow dental arches. The facial profile showed protrusion with increased convexity

What learning would you share with other Invisalign providers?
Patients with short posterior clinical crowns can present challenges in retention and precise tooth movement. However, strong patient compliance combined with a well-planned treatment strategy allowed the treatment to progress as predicted and achieve the desired clinical outcomes.

What contributed most to this treatment being successful?
Patient cooperation plays a crucial role in treatment success.

Clinical Indications

Class I
Crowding
Mandibular midline deviation
Posterior crossbite
Rotations

Modalities

Extrusion
First Premolar extraction
Intrusion
IPR
Leveling Curve of Spee
Overtreatment
Retraction
Space Closure

Extraction of first premolars (#14, #24, #34, #44) to reduce protrusion, close spaces, coordinate arches, and align the mandibular midline with the facial midline.

Treatment Information

Retainer: Other clear

Smartforce: Conventional and Optimized

Submission Process: iTero Scanner Element/5D

Length of Treatment: 25 months

Additional Aligners: 2

Number of Aligners:

	Initial	Additional	Total
Maxillary	49	45	94
Mandibular	49	48	97

Aligner Wear Time: 1 week

Images

Initial

Final

Radiographs

Initial Panorama

Final Panorama

Initial Lateral

Final Lateral

ClinCheck

Summary

Achieved ideal alignment and leveling of both arches, established Class I canine and molar relationships, enhanced occlusal function and stability, improved facial esthetics and profile balance, and patient satisfied with functional and esthetic results.