Align Global Gallery

Invisalign Submission Option: Invisalign Moderate

Year: 2025	Difficulty Level: Advanced
Age: 32	Treatment Time: 5 months 25 days
Gender: Female

Dr. Jaime Andres Montoya Sierra

19617

Invisalign Moderate

Patient Chief Concern
"I want to improve my smile and my open bite".

What learning would you share with other Invisalign providers?
The Invisalign system is an excellent tool for treating cases of anterior open bite and can even be treated with the Moderate package. Following the protocols and making proper use of all the available Invisalign tools is key to achieving successful cases.

What contributed most to this treatment being successful?
The triad of success: Proper planning of the ClinCheck plan following protocols and leveraging all Smart features, clinical monitoring of the case, and adequate patient cooperation.

Clinical Indications

Asymmetric arches
Crowding
Diastema
Facial/dental midline descrepancy
Maxillary midline deviation
Open bite (Post/Ant)
Rotations

Anterior open bite, reverse smile line, and midline discrepancy

Modalities

Extrusion
Intrusion
IPR
Leveling Curve of Spee
Retraction
Space Closure

Combination of posterior tooth intrusion with active incisor extrusion through optimized attachments and incisor retroclination. Neither intermaxillary elastics nor mini-screws were used.

Treatment Information

Retainer: Vivera
Vivera retainer usage protocol: initially 24 hours for 4 months, then nightly use for life.

Smartforce: Conventional and Optimized

Submission Process: iTero Scanner Element/5D

Length of Treatment: 6 months

Number of Aligners:

	Initial	Additional	Total
Maxillary	26	0	26
Mandibular	26	0	26

Aligner Wear Time: 1 week

Images

Initial

Final

Radiographs

Initial Panorama

Final Panorama

Initial Lateral

Final Lateral

ClinCheck

Summary

All objectives were achieved in just 6 months of treatment (single series of aligners). The bite was closed, achieving proper overbite-overjet. A harmonious smile line was created, diastemas were closed, and proper incisor torques were established for both arches. Perfect posterior and anterior occlusion was achieved. Function and aesthetics were restored.