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When can I use Invisalign for a patient living in another country?

Orthodontics is the art of moving teeth to a place of patient satisfaction. Tooth movement does not always go to plan and that is why it is imperative that the patient attends regularly for review of treatment.

About 18 months ago a patient wanted his teeth straightened. The problem was that he was leaving in the next weeks for India and would not be back for 12-16 months.

Initial presentation:

smile transition through the procedure
  • upper centre line was off to the right
  • upper and lower crowding
  • upper lateral incisor was in a crossbite and not visible on smiling

So I examined the patient and assessed his condition and with some trepidation, agreed to provide Invisalign.

Invisalign is a series of clear aligners that are changed in a series every 2 weeks creating orthodontic movements.

Invisalign also needs some interproximal spaces and composite attachments
that are usually done after the scanning and planning process. But the patient was leaving soon and could not come back when the aligners were here. So I had to give him attachments and make spaces. Attachments are usually put on after the aligners arrive as the box contains a template for the attachment process. I had a patient case unused with an attachment template and used it to place attachments where I deemed them necessary.

I also carried out some interproximal spacing where I thought necessary.
I then took the silicone impressions and sent them to Invisalign.

I viewed the scans and agreed with the movements.
I stipulated that there should be no more dentist interventions until the end.

The braces arrived and I arranged for them to be delivered to India.

During the treatment he sent me some pictures of the aligners in the mouth.

18 months he came back and amazingly the teeth were exactly as the scan and I had predicted.

smile transition through the procedure