Treatment Summary
Patient Information
- Age: 13
- Gender: female
- Invisalign Submission Option: Teen
Total Treatment Time
- 23 months
Number of aligners
- Maxillary: 45
- Mandibulary: 45
Aligner Wear time
- 2-weeks
Retention
- Maxillary: Fixed/Bonded
- Mandibular: Fixed/Bonded
Results achieved
- Class I relationship achieved
- Functional canine guidance on both sides
- Normal overjet and overbite achieved
- Significant improvement ofoverbite
- Midlines coincident
- All treatment goals were achieved case
Comments
- Velocity & staging -I would advise 1–1.5 mm maximum extrusion and slow down the velocity of extrusion to 0.1 mm per aligner and spend 2.5 weeks per aligner during active anterior extrusion stage
- IPR - not required in this case but can aid in retro-clination of the upper and/or lower incisors.
- Attachments - I have most success when treating
anterior open bites by using beveled horizontal attachments or Optimized Anterior Extrusion attachments - Tooth Positions - Ideally, all the teeth should move simultaneously to their final positions.