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Invisalign Submission Option: Invisalign Comprehensive
Year: 2024 |
Difficulty Level: Advanced |
Gender: Female |
Dr. Arun Nayak
9514
Invisalign Comprehensive
Clinical Indications
- Anterior crossbite
- Class II div 1
- Crowding
- Deep bite
- Diastema
- Increased overjet
- Mandibular retrognathia
- Narrow arches
- Rotations
Modalities
- Elastics: Class II
- Expansion
- Intrusion
- IPR
- Leveling Curve of Spee
- Phase I treatment / Interceptive
- Phase II treatment
- Proclination
- Retraction
Treatment Information
Retainer: Fixed/Bonded
Smartforce: Optimized Expansion support attachment (G8)
Submission Process: Intra-oral scan
Length of Treatment: months
Number of Aligners:
| Initial | Additional | Total | |
|---|---|---|---|
| Maxillary | 28 | 45 | 73 |
| Mandibulary | 28 | 45 | 73 |
Aligner Wear Time: 10 days
Images
Initial
Final
Radiographs
ClinCheck
Summary
Results achieved
- Class I relationship achieved
- Functional canine guidance on both sides
- Anterior crossbite corrected
- Normal overjet and overbite achieved
- Significant improvement of overbite
- Significant improvement of overjet
- Midlines coincident
- Proper axial inclination of incisors
- Curve of Spee leveled
- Arches aligned and coordinated
- Aesthetic smile line was achieved
- All treatment goals were achieved case
- Harmonic arches were achieved
Comments
- Arch expansion was the primary mode of gaining space. The aligner clearance was good enough to disclude the teeth during crossbite correction.
- The patient was instructed to wear the aligners while eating during the crossbite correction.
- The deciduous teeth shed in between the first round of aligners. Hence the second round was required to finish Phase 1.
- The second phase began nearly 2 years later. Here again, expansion was achieved along with IPR in the anterior teeth to have stable contacts.
- Vivera retainers (3 sets) were given to ensure the continued stability of the teeth.
