Class I
,
Class II div 1
,
Increased overjet
,
Deep bite
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Space Closure
Courtesy of Dr E. Rothier, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: male
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 19 months

Number of aligners

  • Maxillary: 32 + 24 = 56
  • Mandibulary: 32 + 24 = 56

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • All treatment goals were achieved case

Comments

  • Patient has a class II that was corrected with de-rotation of 2.6 and posterior upper IPR in both sides.
  • Inter maxillary elastics were used for anchorage control of space closure and retraction of 1.3 and 2.3.
  • The second molars were not moved and minimal movement in the first molar for better treatment stability and anchorage control.
  • Correction of overbite was obtained through incisor and lower canine intrusion.
  • The additional aligners were used to correct the lower mid line deviation and to improve the posterior occlusion in the left side.
  • The anterior mid line deviation was corrected using asymmetric inter proximal reduction moving the upper mid line left and the lower mid line right.

Images

Initial and final

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

Progress

Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

ClinCheck treatment plan

Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged

Smartforce features

  • Optimized Rotation Attachment (G3) on Buccal 1.5 (UR5), Buccal 2.5 (UL5), Buccal 4.4 (LR4)
  • Optimized Extrusion Attachment (G3) on Buccal 1.4 (UR4)
  • Optimized Multiplane Feature (G4) on Buccal 1.2 (UR2), Lingual 1.2 (UR2), Buccal 2.2 (UL2), Lingual 2.2 (UL2)
  • Optimized Root Control Attachments (G4) on Buccal 4.3 (LR3), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Pressure Areas (G5) on Lingual 1.1 (UR1), Lingual 2.1 (UL1), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2)
Download ADF files:
Initial
Additional Aligners