Class I
,
Midline shift
,
Spacing

Intrusion
,
Expansion
,
IPR
Courtesy of Dr E. Rothier, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 44
  • Gender: male
  • Invisalign Submission Option: Full

Total Treatment Time

  • 5 months

Number of aligners

  • Maxillary: 20
  • Mandibulary: 20

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • I decided to correct the midline deviation using anterior and posterior IPR to avoid elastics and have a shorter treatment time.
  • Despite having some diastema I requested extra IPR between these teeth in aligner number 17 (0.2mm to 0.3mm).
  • I did not use this IPR, the idea is to reach an overcorrection to close the diastema, and thus ensure a stronger point of contact. Due to this I finished the treatment with upper aligner number 20.
  • I did not need to use the overcorrection aligners and there was no need of additional aligners.

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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ClinCheck treatment plan

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Smartforce features

  • Power Ridge Feature on Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized Rotation Attachment (G3) on Buccal 1.4 (UR4), Buccal 2.4 (UL4), Buccal 4.4 (LR4)
  • Optimized Root Control Attachments (G4) on Buccal 3.3 (LL3)
  • Pressure Areas (G5) on Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 4.5 (LR5), Buccal 3.5 (LL5)
Download ADF files:
Initial