Class I
,
Posterior crossbite
,
Anterior crossbite
,
Midline shift
,
Crowding
,
Rotations
,
Spacing
,
Diastema

Extrusion
,
Leveling Curve of Spee
,
Retraction
,
IPR
,
Space Closure
Courtesy of Dr. S. Chieh Lin, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 28
  • Gender: female
  • Invisalign Submission Option: Lite

Total Treatment Time

  • 14 months

Number of aligners

  • Maxillary: 14 + 11 = 25
  • Mandibulary: 14 + 11 = 25

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Hawley
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Overjet improved
  • 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 linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • This is a Invisalign Full case but treated with Invisalign Lite option due to its difficulty.
  • In first set of 14 aligners, we just close 2.5 mm diastema and leave 1mm space bet 1121 although there is no space in the 1st clincheck.
  • We also close lower spacing and correct rotation and cross bite within 14 aligners. During the refinement , we can close the remaining space and do better finishing and detailing.
  • After active treatment, retained by fixed type retainer over upper arch and ask p't to wear Hawley retainer at night.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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upper
lower
right
front
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InitialFinal
Before picture of treatment
After picture of treatment
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ClinCheck treatment plan

Smartforce features

  • Power Ridge Feature on Buccal 1.2 (UR2)
  • Optimized Rotation Attachment (G3) on Buccal 4.5 (LR5), Buccal 3.5 (LL5)
  • Optimized Root Control Attachments (G4) on Buccal 3.4 (LL4)
  • Pressure Areas (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.4 (UL4)
Download ADF files:
Initial
Additional Aligners