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Invisalign Submission Option: Invisalign Comprehensive
Year: 2023 |
Difficulty Level: Advanced |
Gender: Female |
Dr. Hiroyuki Watabe
8388
Invisalign Comprehensive
Clinical Indications
- Anterior crossbite
- Asymmetric arches
- Class II div 2
- Crowding
- Mandibular midline deviation
- Midline shift
- Narrow arches
- Rotations
Modalities
- Elastics: Class II
- Extraction
- First Premolar extraction
- Intrusion
- IPR
- Mesialization
- Other extraction
- Phase II treatment
- Retraction
- Space Closure
Treatment Information
Smartforce: Optimized deep bite attachments for anchorage (G5)
Submission Process: Intra-oral scan
Length of Treatment: 16 months
Number of Aligners:
| Initial | Additional | Total | |
|---|---|---|---|
| Maxillary | 34 | 22 | 56 |
| Mandibulary | 45 | 15 | 60 |
Aligner Wear Time: 1 week
Images
Initial
Final
Progress
ClinCheck
Summary
Results achieved
- Class I relationship achieved
- Class II relationship maintained
- Functional canine guidance on both sides
- Anterior crossbite corrected
- Normal overjet and overbite achieved
- Midlines coincident
- Proper axial inclination of incisors
- Curve of Spee leveled
- Arches aligned and coordinated
- Alignment of both arches through derotation
- Arch form improved
- Aesthetic smile line was achieved
- All treatment goals were achieved case
- Harmonic arches were achieved
Comments
- Extracted 14, 24,35.
- The lower midline was shifted 4 mm to the left.
- Staging of retraction used simultaneous movements.
- Treatment period for initial aligners was 11 months.
- Initial aligners: continued using Class II elastics (3/16 inch, 6.0 OZ ) on the right side and Class II elastics (3/16 inch, 4.5 OZ ) on the left.
- Additional aligners: Triangle elastics (3/16 inch, 4.5 OZ) were used on both sides.
