Professional Documents
Culture Documents
2478/aoj-2001-0006
Case Report
Figure 3d.
Figure 3e.
Figure 3c.
October 1999: maxillary and mandibular 15 align- maxillary incisors, to increase the overjet on the 22,
ers placed; not seating fully. and to overcorrect the lingually positioned con-
November 1999: maxillary and mandibular 16 tact point on the mesial of the 41.
aligners placed; new PVS impressions taken.
December 1999: new maxillary and mandibular Comment
aligners 16 placed. Maxillary and mandibular
aligners 17 and 18 delivered. Although the patient was happy with the improved
anterior aesthetics of his occlusion (Figures 6a
January 2000: maxillary and mandibular aligners
and b), he did consent to undergo further treat-
19 and 20 delivered.
ment in order to meet the treatment goals. This
February 2000: maxillary aligners 21, 22, 23 and revised virtual treatment plan will involve com-
24 delivered. Mandibular aligner 21 placed. posite resin attachments on the maxillary anterior
March 2000: maxillary aligners 25 and 26 deliv- teeth in an attempt to extrude them and obtain
ered; mandibular aligners 22 and 23 delivered. adequate overbite. From this patient and others
in the study, we have learned that tooth position-
April 2000: maxillary aligners 27 and 28 deliv-
ing involving tipping movement can be routinely
ered. Mandibular aligners 24 and 25 delivered.
achieved with the Invisalign System.™ Other,
Teeth 18 and 28 cut off aligners.
more difficult, movements, such as extrusion,
May 2000: maxillary aligners 29 and 30 delivered bodily movement through extraction spaces and
(end of series); mandibular aligners 26 and 27 molar distalisation of more than 2 mm, are less
delivered. Teeth 18 and 28 cut off aligners. predictable. However, the promising results of this
June 2000: mandibular aligner 28 placed (end of study indicate that when composite resin attach-
series). Tooth 22 lingually positioned. ments to the buccal and, sometimes, the lingual
surfaces of the teeth are used, these difficulties
August 2000: maxillary and mandibular PVS
may be overcome.
impressions for construction of additional align-
ers; final records taken; maxillary aligner 30 and When evaluating the occlusal outcome of this case,
mandibular aligner 28 continued for retention. it is evident that conventional fixed or removable
appliances could have achieved the same or a better
Results occlusal result in arguably less time. The major
Treatment goals that were met include the align- advantage of the Invisalign™ appliance is clearly
ment of the maxillary and mandibular anterior its aesthetic, removable nature. Patients feel com-
teeth and the overjet on all teeth, except the 22 fortable knowing that they can remove the aligners
(Figures 4a to e). Cephalometric superimposition for oral hygiene or social purposes. The majority
revealed labial tipping of the maxillary and, to of patients enrolled in this study are professional
a lesser extent, the mandibular incisors (Figure 5). adults who, for various reasons, would not elect to
The patient is currently undergoing additional pursue orthodontic treatment with conventional
treatment to attempt further extrusion of the fixed appliances.
Figure 4c.
Figure 4d.
Figure 4e.
Table I.