A 43-year-old female patient underwent a full Invisalign treatment for severe crowding and deep bite, performed by Dr. Raman Aulakh over 24 months. Key interventions included interproximal reduction and the use of precision attachments for optimal tooth positioning, resulting in improved aesthetics and controlled overjet with minimal restorative work. Retention strategies included both Hawley and fixed retainers for the upper and lower arches.

1. Treatment Information
Patient: R.W
Age: 43
Gender: F
Invisalign Treatment Option: Full
Case treated by : Dr Raman Aulakh BDS MSc Orth
CL II DIV 2 ,SEVERE CROWDING, DEEP-BITE,
MISSING UR2, MICRODONTIC UL2

3. Pre-treatment photos

6. Clincheck images [before and after]

7. CLINCHECK ANALYSIS
• Upper central incisors moved with torque, intrusion and retraction.
• Upper lateral incisor UL2 extruded combined with controlled tip.
• Expansion and change of square arch forms in both arches.
• Use of precision attachments as required to de-rotate, extrude and
torque. Also used for anchorage in deep correction..
• Interproximal reduction of lower anterior teeth to control amount of
lower incisor proclination and avoid extraction treatment. [0.2mm from
mesial and distal of each contact point of LL3,LL2,LL1,LR1,LR2,LR3]

8. Precision Attachments Used
Pre – G5 case

9. Post-ortho photos

10. Smile improvement:
pre-ortho, post-ortho, post-restorative

11. TREATMENT SUMMARY
Results Achieved:
• Overjet controlled.
• Buccal occlusion maintained.
• Crowding resolved
Total treatment time:
• 24 months
Number of Aligners:
• Maxillary: 37 + (R 13)
• Mandibular: 31 + (R 10)
Comments:
• Good aesthetic result with
minimal restorative work
required afterwards.
• Stability issue due to lower
incisor proclination
• Recession concern: biotype limit
• Anterior IPR limit reached.
Retention:
• Maxillary:
Hawley retainer
Fixed retainer 3-3
• Mandibular:
Hawley retainer
Fixed wire retainer 3-3

12. Thank you !
Dr Raman Aulakh BDS MSc Orth
Specialist Orthodontist
Post-graduate Tutor [Aesthetic Dentistry]
Clinical Speaker Invisalign
www.ramanaulakh.com