Class I
,
Increased overjet
,
Deepbite
,
Narrow arches
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Intrusion
,
Expansion
,
Retraction
,
IPR

Treatment information

  • Age: 11
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class I relationship
  • Narrow Arches
  • Midline Shift
  • Deepbite
  • Increased overjet
  • Crowding
  • Rotations

Use of:

  • Distalization
  • Levelling Curve of Spee
  • Expansion
  • Intrusion
  • IPR
  • Phase I treatment / Interceptive
  • Retraction
  • Conventional Bite Ramp on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 3.1 (LL1), Lingual 3.2 (LL2)
Courtesy of Dr. W. Zhang 2017

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
Download ADF files
Initial
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • 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
  • Harmonic arches were achieved

Total treatment Time

  • 15 months

Number of aligners

  • Maxillary: 35 + 8 = 43
  • Mandibular: 35 + 8 = 43

Aligner wear time

  • 10 days

Comments

  • We used a twinblock appliance to correct the Mandibular Retrognathia for a year before the invisalign treatment.
  • The biteramp is powerful for correct the overbite and the IPR or the upper anterior teeth is very useful for reduce the overjet.