Class I
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Rotations
,
Spacing
,
Diastema
,
Pre-restorative

Extrusion
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Other extraction
,
Space Closure

Treatment information

  • Age: 25
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class I relationship
  • Narrow Arches
  • Midline Shift
  • Mandibular midline deviation
  • Maxillary midline deviation
  • Rotations
  • Spacing
  • Diastema
  • Asymmetric arches
  • Pre-Restorative

Use of:

  • Leveling Curve of Spee
  • Expansion
  • Extrusion
  • Intrusion
  • Other Extraction
  • Space Closure
  • Retraction
  • Optimized Rotation Attachment (G3) on Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 3.4 (LL4)
  • Optimized Root Control Attachments (G4) on Buccal 1.3 (UR3), Buccal 3.3 (LL3), Buccal 3.5 (LL5)
Courtesy of Dr. G. Dal Porto 2017

Photos

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

Radiographs

ClinCheck treatment plan

video anterior
video right-left
video upper-lower
Download ADF files
Initial

Treatment summary

Results Achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • Deepbite improved
  • 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 line¬†was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 10 months

Number of aligners

  • Maxillary: 16
  • Mandibular: 16

Aligner wear time

  • 2-weeks

Comments

  • The patient demonstrated perfect collaboration with the aligners from the first one.
  • The minimum distraction of the arches and therefore of the condyles given by the thickness of the aligners gave very good comfort to the patient.
  • The hygiene was always perfect and therefore the periodontal status was always perfect.

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera