Invisalign Submission Option: Invisalign Comprehensive

Year: 2023

Difficulty Level: Advanced

Gender: Female

Dr. Bhudsadee Saenghirunvattana

Invisalign Comprehensive

Clinical Indications

  • Anterior crossbite
  • Asymmetric arches
  • Class III
  • Deep bite
  • Diastema
  • Rotations
  • Spacing

Modalities

  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • Overtreatment
  • Phase II treatment
  • Proclination
  • Retraction
  • Space Closure

Treatment Information

Smartforce: Optimized extrusion attachment (G3)
Submission Process: Intra-oral scan
Length of Treatment: 19 months
Additional Aligners: 1
Number of Aligners:
Initial Additional Total
Maxillary 0 0 0
Mandibulary 0 0 0
Aligner Wear Time: 1 week

Images

Initial
Final
Progress

Radiographs

Summary

Results achieved
  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • 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
  • Modify the upper arch form from square to ovoid.
  • Close all spaces in the lower arch.
  • Upright lower posterior teeth and level the lower curve of Spee prior to space closure to ensure better predictability (not address too many movements in the same tooth at the same time).
  • Use elastics to settle the posterior open bite.
  • Use fake attachment on the occlusal surface of lower posterior teeth to help upright them by intruding the distal portion.
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Per conubia nostra, per inceptos hime
Mauris in erat justom etone. Per conub
per inceptos hime naeos.

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