Invisalign Submission Option: Invisalign First

Difficulty Level: Intermediate

Treatment Time: 2 years 1 month 12 days

Gender: Male

Dr. Jiaojiao Qu
11045

Invisalign First

Patient Chief Concern
Crowding and Deep overbite

What learning would you share with other Invisalign providers?
In growing patients, the Invisalign system can effectively solve the cases of mild to moderate deep overbite. In severe high Angle deep closed overbite, the function of MA strategies can be tried for deep bite in the correction of hyperdivergent facial pattern: Because of the clear aligner parcel, the extrusion of the posterior segments can be compensated for the vertical ramal growth. Also, relative intrusion of incisors is easily achieved, holding them in place while the other teeth and the face are developing.

What contributed most to this treatment being successful?
1. Helped with the Power Ridge feature, the anterior teeth roots were transferred to the alveolar bone to prepare for upper incisors intrusion and restore the torque of the anterior teeth. 2. The occlusion of anterior teeth were opened by posterior teeth extrusion and anterior teeth intrusion and finally balanced occlusion. 3. Because the patient has a lot of growth potential, the eruption of the premolar and molar plays an important role in the correction of the severe closed overbite. 4. The function of MA may also have a positive contribution in correcting the deep overbite problem.

Clinical Indications

  • Class II div 2
  • Crowding
  • Deep bite
deep closed overbite

Modalities

  • Distalization
  • Intrusion
  • Leveling Curve of Spee
  • Overtreatment
  • Phase I treatment / Interceptive

Treatment Information

Retainer: Hawley
Wear a Harley retainer with a flat guide on the upper jaw at night and a transparent retainer during the day
Smartforce: Conventional, Mandibular Advancement and Optimized
Submission Process: iTero Scanner Element/5D
Length of Treatment: 25 months
Additional Aligners: 74
Number of Aligners:
Initial Additional Total
Maxillary 30 74 104
Mandibulary 30 74 104
Aligner Wear Time: 1 week

Images

Initial
Final
Progress

Radiographs

Summary

1. The occlusion of anterior teeth were opened through upper incisors relative intrusion and the curve of Spee decreased. 2. The upper and lower arches showed acceptable alignment. 3. The maxillary and mandibular midlines are consistent with the facial midline. 4. The right and left molars and canines Class I relationship are obtained. 5. Invisalign First clear aligners basically solve all problems and does not need second stage orthodontic treatment.
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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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