Presenting Clinical Problem

A patient from the Chadstone area presented with malocclusion characterised by a reverse overjet. The following concerns were identified during clinical assessment:

• Reverse Overjet: The lower teeth occluded ahead of the upper teeth, creating functional and aesthetic challenges.
• Skeletal Development Considerations: Treatment planning was influenced by ongoing growth and development.
• Patient Preference: The family preferred a non-surgical and minimally invasive orthodontic solution.

The primary clinical objective was to correct the malocclusion conservatively, align the arches, and improve functional occlusion without surgical intervention.

Treatment Plan & Clinical Process

A clear aligner approach was selected to manage the reverse overjet and guide tooth movement.

• Phase 1: Diagnostic & Planning
  Digital Smile Design and 3D scanning were used to create a precise digital model. This enabled careful assessment of occlusion and prediction of movement pathways.
• Phase 2: Aligner Therapy
  Invisalign clear aligners were prescribed to progressively reposition the teeth. The aligners were changed at regular intervals, with treatment monitored closely through scheduled reviews to ensure compliance and predictable movement.
• Phase 3: Progress Monitoring
  No extractions were required, preserving natural dentition. Adjustments to aligner sequencing were made as needed to maintain the trajectory of correction.
• Phase 4: Completion of Treatment
  After one year and nine months, alignment was achieved, and the reverse overjet was corrected. Retainers were provided to maintain the corrected occlusion.

Clinical Outcome

The treatment plan successfully corrected the patient’s presenting condition.

• The reverse overjet was resolved, with proper alignment of upper and lower arches.
• Occlusion was corrected without the need for surgical intervention or extractions.
• Tooth integrity was preserved, and alignment achieved within the projected timeframe.
• The final result was a stable and functional occlusion, supported by retainers to ensure long-term maintenance.

This case highlights how Invisalign can provide predictable, conservative correction for young patients presenting with challenging malocclusions, particularly when surgery is not the preferred pathway.