Align Global Gallery

Invisalign Submission Option: Invisalign Comprehensive

Year: 2024	Difficulty Level: Advanced
Age: 19	Treatment Time: 1 year 7 months 8 days
Gender: Male

Dr. Sang-Woon Ha

17628

Invisalign Comprehensive

Patient Chief Concern
Crooked teeth

What learning would you share with other Invisalign providers?
Invisalign treatment enables rapid correction of the lower arch while the patient is undergoing maxillary expansion with MARPE. In the initial set, the patient did not wear aligners on the upper arch. Once the expansion was complete, we proceeded with the Additional Aligner phase for both arches.

What contributed most to this treatment being successful?
The anteroinferior movement of the maxilla following MARPE expansion contributed to the improvement of the Class III tendency, allowing us to establish a Class I relationship with just Class III elastics.

Clinical Indications

Anterior crossbite
Class III
Crowding
Mandibular midline deviation
Narrow arches
Rotations

Modalities

Elastics: Class III
Palatal Expansion

MARPE

Treatment Information

Retainer: Wire retainer

Smartforce: Conventional and Optimized

Submission Process: iTero Scanner Element/5D

Length of Treatment: 19 months

Additional Aligners: 2

Number of Aligners:

	Initial	Additional	Total
Maxillary	0	40	40
Mandibular	19	41	60

Aligner Wear Time: 7 - 10 days

Images

Initial

Final

Progress

Radiographs

Initial Panorama

Final Panorama

Initial Lateral

Final Lateral

ClinCheck

Summary

Arch form improved by maxillary expansion, correction of Class III tendency, achieved Class I relationship, functional canine guidance on both sides, normal overjet and overbite, midline coincidence, proper axial inclination of incisors, and an aesthetic smile line. Note: This treatment was completed with a conventional palatal expander device and then with Invisalign aligners.