Invisalign Submission Option: Invisalign Comprehensive

Year: 2023

Difficulty Level: Advanced

Gender: Male

Dr. Vudhibhong Laoamata
9238

Invisalign Comprehensive

Clinical Indications

  • Class II div 1
  • Crowding
  • Deep bite
  • Increased overjet
  • Mandibular midline deviation
  • Midline shift
  • Narrow arches

Modalities

  • Expansion
  • Extrusion
  • Intrusion
  • IPR
  • Leveling Curve of Spee
  • Lower incisor extraction
  • Retraction
  • Space Closure

Treatment Information

Retainer: Other clear
Smartforce: Optimized deep bite attachments for anchorage (G5)
Submission Process: Intra-oral scan
Length of Treatment: 15 months
Number of Aligners:
Initial Additional Total
Maxillary 0 0 0
Mandibulary 0 0 0
Aligner Wear Time: 1 week

Images

Initial
Final

Radiographs

Summary

Results achieved
  • Class II relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • 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
  • 4.2 was a hopeless tooth and planned for extraction.
  • Space closure with the Invisalign system was programmed by virtual gable bend to 4.3 and 4.1 for root parallelism after treatment finish.
  • IPR was performed in the upper anterior to solve Bolton's ratio discrepancy from the lower incisor extraction.
  • IPR in the lower arch was used to prevent dark triangles after the treatment was finished.
  • Precision bite ramps helped the intrusion of lower anterior teeth during the retraction phase.
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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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