Align Global Gallery

Invisalign Submission Option: Invisalign Moderate

Year: 2025	Difficulty Level: Advanced
Age: 35	Treatment Time: 5 months 26 days
Gender: Male

Dr. Jaime Andres Montoya Sierra

20001

Invisalign Moderate

Patient Chief Concern
Bad bite causing gastric problems.

What learning would you share with other Invisalign providers?
Cases of advanced difficulty can be treated in the Moderate portfolio, even in a single series of aligners without the need for Additional Aligners.

What contributed most to this treatment being successful?
Proper planning, including the use of Class III intermaxillary elastics, case monitoring, and Invisalign's Smart features.

Clinical Indications

Asymmetric arches
Class III
Crowding
Edge to edge bite
Narrow arches
Open bite (Post/Ant)
Rotations

Patient with anterior edge-to-edge relationship with bilateral posterior open bite and Class III that prevented him from chewing food

Modalities

Elastics: Class III
Extrusion
IPR
Retraction

The predictability of the optimized extrusion attachments was fundamental to achieving bilateral posterior bite closure and the use of class III elastics for the correction of its anterior edge-to-edge relationship.

Treatment Information

Retainer: Vivera
Instructions for use of Vivera retainers: 24 hours for 5 months and then at night for life.

Smartforce: Optimized

Submission Process: iTero Scanner Element/5D

Length of Treatment: 6 months

Number of Aligners:

	Initial	Additional	Total
Maxillary	25	0	25
Mandibular	25	0	25

Aligner Wear Time: 1 week

Images

Initial

Final

Radiographs

Initial Panorama

Final Panorama

Initial Lateral

Final Lateral

ClinCheck

Summary

A bilateral Class I relationship, coincident midlines, adequate posterior and anterior occlusion with appropriate overbite and overjet, adequate incisor torque, aligned and coordinated arches, and an aesthetic smile line are achieved in a treatment of only six months in a single series of aligners without the need for Additional Aligners.