Class I, Class III, Openbite

IPR, Expansion, Intrusion, Extrusion

Treatment Information

  • Age: 13
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class I relationship
  • Class III relationship
  • Edge to edge bite
  • Openbite

Use of:

  • Expansion
  • Extrusion
  • Intrusion
  • IPR
  • Class III
  • Optimized Rotation Attachment (G3) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 2.3 (UL3), Buccal 2.5 (UL5), Buccal 4.5 (LR5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized Extrusion Attachment (G3) on Buccal 4.1 (LR1), Buccal 3.1 (LL1)
  • Optimized Root Control Attachments (G4) on Buccal 2.1 (UL1), Buccal 2.4 (UL4)
  • Optimized DeepBite Attachments Activated for Premolar Extrusion (G5) on Buccal 4.4 (LR4)
Courtesy of Dr Rosario Rodriguez 2017

Photos

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

Radiographs

ClinCheck Treatment Plan

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

Treatment Summary

Results Archieved

  • Class I relationship achieved
  • NormalĀ  overjet and overbite achieved
  • Midlines coincident
  • Arches aligned and coordinated
  • All treatment goals were achieved case

Total treatment Time

  • 8 months

Number of aligners

  • Maxillary: 12
  • Mandibular: 17

Aligner wear time

  • 2-weeks

Comments

  • Invisalign is an excellent choice for patients with anterior open bite, as it reduces treatment time and the need for temporary anchorage - it allows good control of the vertical dimension which prevents inadvertent posterior extrusion, as well as enables active intrusion of the posterior teeth when aided by occlusal attachments (which were not filled with composite).
  • Malocclusion was corrected with 12 upper aligners and 17 lower aligners, from the 24 aligners initially planned. Root resorption of the upper central incisors remained unchanged.
  • The final photos and radiographs showed that the occlusal plane and proclination of the lower incisors improved.