Class I
,
Posterior crossbite
,
Anterior Crossbite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Leveling curve of Spee
,
Extrusion
,
Expansion
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Elastics: Class III
Courtesy of Dr. S. Tsai, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 20 개월

Number of aligners

  • Maxillary: 39 + 23 = 62
  • Mandibulary: 39 + 23 = 62

Aligner Wear time

  • Progressive Aligner Change: 14 Days- 10 Days- 7 Days.

보유

  • Maxillary: Invisalign aligner
  • Mandibular: Invisalign aligner

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

코멘트

  • The treatment plan for this case is to keep the upper incisors in its initial AP position and get space from maxillary /mandibular arch expansion and distalization
  • Sequential upper and lower arch distalization plan: distalize molars, premolars, then canine & incisors ( total distalization 1.5mm )
  • A 4 mm horizontal CRT on 3.7 was selected to assist molar distalization
  • Doing arch expansion movement while doing sequential distalization
  • Night-time wear of class III elastics after upper sequential distalization was done to assist lower molar distalization

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

진행

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upper
lower
right
front
left
치료 전 초기최종
Before picture of treatment
After picture of treatment
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ClinCheck information

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Smartforce features

  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 2.3 (UL3), Buccal 2.5 (UL5), Buccal 3.5 (LL5)
  • Power ridge feature (G3) on Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Optimized deep bite attachments for anchorage (G5) on Buccal 1.5 (UR5), Buccal 2.4 (UL4), Buccal 4.5 (LR5)
  • Optimized support attachment on upper laterals (G7) on Buccal 1.2 (UR2), Buccal 2.2 (UL2)