Class I
,
Anterior crossbite
,
Asymmetric arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Extrusion
,
Expansion
,
Retraction
,
IPR
Courtesy of Dr C. Carvalho, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 26
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Number of aligners

  • Maxillary: 12 + 7 = 19
  • Mandibulary: 12 + 7 = 19

Aligner Wear time

  • 10 days

Retention

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

Results achieved

  • Class I relationship maintained
  • Anterior crossbite corrected
  • Overjet improved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved 

Comments

The patient had vestibularization of the lower teeth, lower midline to the left, and different torques in the lower anterior teeth. I performed IPR to correct the midline, and to have space for lower anterior retraction. I performed this retraction and after having an adequate overjet, we corrected tooth 2.2 downwards. In this way, we were able to correct the anterior crossbite, correct the deviated midline.

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 premolar extrusion
Download ADF files:
Initial
Additional Aligners