Class I
,
Posterior crossbite
,
Anterior crossbite
,
Asymmetric arches
,
Mandibular midline deviation

Leveling curve of Spee
,
Extrusion
,
Retraction
,
IPR
,
Elastics: vertical
Courtesy of Dr C. Carvalho, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 20
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Number of aligners

  • Mandibulary: 21

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship maintained
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Overjet improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • 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

Comments

I decided to do IPR to get space to correct the midline and to do a retraction
. The lower midline for left, cause the upeer was good.
I inserted elastic to imporve the movement to correct the posterior crossbite
The correction of 4.3, I used only the aligner and I got the good result.

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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ClinCheck treatment plan

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Smartforce features

  • Optimized rotation attachment (G3)
  • Optimized root control attachments (G4)
  • Optimized deep bite attachments for anchorage (G5)
  • Optimized deep bite attachments for premolar extrusion
Download ADF files:
Initial