Class I
,
Anterior crossbite
,
Narrow arches
,
Mandibular midline deviation

Expansion
,
IPR
Courtesy of Dr C. Carvalho, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 28
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Number of aligners

  • Maxillary: 21
  • Mandibulary: 21

Aligner Wear time

  • 10 days

Retention

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

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line¬†was achieved¬†
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • The patient had a cross bite on teeth 4.3 and 4.2 with a lower midline deviated to the right. This was due to active retainer.
  • To improve the midline, I performed IPR on lower incisors. That way, I also got space to retract the lower incisors and correct the crossbite.
  • In addition, I performed upper and lower expansion to gain space and improve the shape of the arches.

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 treatment plan

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Smartforce features

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