Orthotown October 2016 - 14


clinical orthodontics // message board

HSD/Invisalign/Adult
An ortho shares a well-documented case involving Invisalign and HSD.
Orthotown.com > Message Boards > Clinical Topic > Clinical Orthodontics > HSD/Invisalign/Adult

davidharnick
Member Since: 08/28/02
Post: 1 of 10

Introduction
I have been swamped but wanted to share this case since so many of you have messaged me
asking about Invisalign/HSD. I took some records along the way so it is particularly well-documented
for my office, as I only have two clinical assistants.
I will not be able to put the entire case up at one sitting so I will add to it as I have time and
will answer any questions that come up. This was a challenging case and demonstrates many
of the problems that need to be overcome in order to have a nice result. It is not perfect, sorry.
Retainers delivered this morning.

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Chief complaint: U/L crowding of the front teeth. Absolutely refuses braces, wants
Invisalign. This is typical for my practice. Class II right side with crowding, crossbite, severe
midline discrepancy, mild to moderate crowding. Gave a two-year estimate. Explained about
dark triangles due to shape of anterior teeth and the need for the wisdom teeth to be extracted.

With Invisalign or braces, I am totally happy to see U8's. It will aid in the distalization process.
The big tip: Do not extract until you have Class II mechanics going. With Invisalign, no big deal
since I start elastics day one. Brackets need to be in steel rectangular wires.

Aligner 15 or 30 weeks into treatment. She was very kind and she let me make the large space
U2-3 for demonstration purposes to show the segmental distalization.

14

OCTOBER 2016 // orthotown.com


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Table of Contents for the Digital Edition of Orthotown October 2016

Orthotown.com Highlights
Embrace Progress: What’s In Your Records?
New Products
Poll
Message Boards: HSD/Invisalign/Adult
Message Boards: Phase 1: Anterior Crossbite and Crowding
Interdisciplinary Ortho-Perio Treatment of Excessive Gingival Display
Creating a Strong Scheduling Architecture
Indirect Bonding: A Closer Look
Indirect Bonding: The Tech Effect
Welcome to Digital Orthodontics
Good Vibrations
Ad Index
Orthotown October 2016 - Cover1
Orthotown October 2016 - Cover2
Orthotown October 2016 - 1
Orthotown October 2016 - 2
Orthotown October 2016 - 3
Orthotown October 2016 - 4
Orthotown October 2016 - 5
Orthotown October 2016 - Orthotown.com Highlights
Orthotown October 2016 - 7
Orthotown October 2016 - Embrace Progress: What’s In Your Records?
Orthotown October 2016 - 9
Orthotown October 2016 - New Products
Orthotown October 2016 - 11
Orthotown October 2016 - Poll
Orthotown October 2016 - 13
Orthotown October 2016 - Message Boards: HSD/Invisalign/Adult
Orthotown October 2016 - 15
Orthotown October 2016 - 16
Orthotown October 2016 - 17
Orthotown October 2016 - Message Boards: Phase 1: Anterior Crossbite and Crowding
Orthotown October 2016 - 19
Orthotown October 2016 - 20
Orthotown October 2016 - 21
Orthotown October 2016 - 22
Orthotown October 2016 - 23
Orthotown October 2016 - 24
Orthotown October 2016 - 25
Orthotown October 2016 - 26
Orthotown October 2016 - 27
Orthotown October 2016 - Interdisciplinary Ortho-Perio Treatment of Excessive Gingival Display
Orthotown October 2016 - 29
Orthotown October 2016 - 30
Orthotown October 2016 - 31
Orthotown October 2016 - 32
Orthotown October 2016 - 33
Orthotown October 2016 - 34
Orthotown October 2016 - 35
Orthotown October 2016 - Creating a Strong Scheduling Architecture
Orthotown October 2016 - 37
Orthotown October 2016 - 38
Orthotown October 2016 - 39
Orthotown October 2016 - Indirect Bonding: A Closer Look
Orthotown October 2016 - 41
Orthotown October 2016 - 42
Orthotown October 2016 - 43
Orthotown October 2016 - Indirect Bonding: The Tech Effect
Orthotown October 2016 - 45
Orthotown October 2016 - 46
Orthotown October 2016 - 47
Orthotown October 2016 - 48
Orthotown October 2016 - 49
Orthotown October 2016 - Welcome to Digital Orthodontics
Orthotown October 2016 - 51
Orthotown October 2016 - 52
Orthotown October 2016 - 53
Orthotown October 2016 - Good Vibrations
Orthotown October 2016 - 55
Orthotown October 2016 - 56
Orthotown October 2016 - 57
Orthotown October 2016 - 58
Orthotown October 2016 - 59
Orthotown October 2016 - 60
Orthotown October 2016 - Cover4
Orthotown October 2016 - Ad Index
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