Class I
,
Deepbite
,
Midline shift
,
Crowding
,
Rotations

Intrusion
,
IPR

Treatment information

  • Age: 15
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class I relationship
  • Midline Shift
  • Mandibular midline deviation
  • Maxillary midline deviation
  • Deepbite
  • Crowding
  • Rotations

Use of:

  • Intrusion
  • Levelling Curve of Spee
  • IPR
  • Optimized Rotation Attachment (G3) on Buccal 1.5 (UR5), Buccal 2.3 (UL3), Buccal 2.5 (UL5), Buccal 4.5 (LR5)
  • Optimized Root Control Attachments (G4) on Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 3.3 (LL3), Buccal 3.4 (LL4)
  • Conventional Bite Ramp on Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
Courtesy of Dr. K. Malekian 2016

Photos

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

Radiographs

ClinCheck treatment plan

video anterior
video right-left
video upper-lower

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case

Total treatment Time

  • 28 months

Number of aligners

  • Maxillary: 30 + 27 + 17 = 74
  • Mandibular: 30 + 27 + 17 = 74

Aligner wear time

  • 2-weeks

Comments

  • 1. Complex space management is one of the keys. IPR ClinCheck planning and tracking at every visit permits us to solve moderate-severe crowdings.2. We planned retraction and simultaneous alignment of upper and lower anterior.3. Optimized rotation attachments for high angle rotation of upper canines.

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera