Class II div 1
,
Posterior crossbite
,
Open bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Extrusion
,
Expansion
,
IPR
Courtesy of Dr. F. Baboni, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 23
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 19 + 13 + 21 = 53
  • Mandibulary: 19 + 13 = 32

Aligner Wear time

  • 2 weeks

Retention

  • Maxillary: Hawley
  • Mandibular: Fixed/Bonded

Results achieved

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

Comments

  • We planned the expansion of both arches and to align the teeth
  • We used multi-plane attachments to rotate and to do extrusion of the 1.2 and 2.2
  • IPR was done on bicuspids and incisors
  • Rotation on 3.3. and 4.3 to get functional canine guidance on both sides
  • Attachment on the occlusal of 1.6 and 2.6 for intrusion, rotation, and expansion of the upper molars

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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ClinCheck information

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Smartforce features

  • Optimized extrusion attachment (G3) on Buccal 2.3 (UL3)
  • Power ridge feature (G3) on Buccal 2.1 (UL1), Lingual 2.1 (UL1)
  • Optimized Multi-plane (G4) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4)