Multidisciplinary treatment-increase of vertical dimension combined with Invisalign treatment

This case report describes a successful two-stage orthodontic treatment combined with a previous restorative treatment. A 45-year-old man, with attrition on the cervical-buccal and occlusal surface of the teeth with the consequent decrease of the vertical dimension, due to severe bruxism. Phase one consisted of an increase of the vertical dimension following the principles of the bioesthetic with a restorative treatment, before a second phase of orthodontic treatment with a clear removable appliance (Invisalign). The total treatment period was 18 months, and the final result was the patient's facial muscle pain and parafunctional movement disappearing. Keywords: Invisalign, multidisciplinary treatment, orthodontics, vertical dimension