Class III
,
Crowding
,
Increased overjet
,
Narrow arches
,
Midline shift
,
Openbite
,
Rotations

Extrusion
,
Intrusion
,
Expansion
,
IPR

Treatment information

  • Age: 33
  • Gender: male
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class III relationship
  • Narrow Arches
  • Midline Shift
  • Mandibular midline deviation
  • Increased overjet
  • Openbite
  • Crowding
  • Rotations

Use of:

  • Levelling Curve of Spee
  • Expansion
  • Extrusion
  • Intrusion
  • IPR
  • Optimized Rotation Attachment (G3) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 3.5 (LL5)
  • Multi-Tooth Extrusion Attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized Root Control Attachments (G4) on Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.4 (LL4)
Courtesy of Dr. A. Conde Junior 2017
Award 2018 Peer Review Awards

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 achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 12 months

Number of aligners

  • Maxillary: 20 + 15 = 35
  • Mandibular: 20 + 15 = 35

Aligner wear time

  • 10

Comments

  • Anterior extrusion mechanics and intrusion of the posterior teeth were performed, however, the patient requested the removal of the vestibular attachments and, therefore, they were positioned on the lingual surface.