Anterior crossbite
,
Midline shift
,
Crowding
,
Spacing

Elastics: Class II
,
Retraction
,
Other extraction
,
Space Closure
,
TADs

Treatment information

  • Age: 37
  • Gender: F
  • Invisalign Treatment Option: Full

Diagnostic Summary:

  • Class II subdivision right
  • Anterior crossbite
  • Maxillary midline deviation to the left
  • Mandibular midline deviation to the right
  • Crowding
  • Spacing

Use of:

  • Extraction of 1.5 (UR5) and 3.4 (LL4)
  • Retraction
  • TAD between 1.6 (UR6) and 1.7 (UR7) for 11 months
  • Elastics from 1.3 (UR3) to 4.6 (LR6) for 16 months
  • Space closure
  • Optimized extrusion attachment (G3)
Courtesy of Dr. D. Coles 2014

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final
lower
right
front
left

Radiographs

  • Missing 2.5 (UL5) and 4.4 (LR4)
  • Slight retrognathic mandible with flared lower incisors
  • Measurements showing lip strain

ClinCheck treatment plan

video anterior
video right-left
video upper-lower
Download ADF files
Initial
Refinement 1
Refinement 2

Treatment summary

Results Achieved:

  • Anterior crossbite corrected
  • Midlines coincident
  • Facial harmony attained

Total treatment time:

  • 31 months

Number of Aligners:

  • Maxillary: 38+28+3=69
  • Mandibular: 38+28=66

Comments:

  • Lip protrusion reduced
  • Roots parallel in extraction sites

Retention:

  • Maxillary: Bonded 2-2 retainer with upper overlay
  • Mandibular: Bonded 3-3 retainer