Class I, Crowding, Narrow arches, Midline shift

Elastics: Class II, Extrusion, Expansion, IPR

Treatment information

  • Age: 16
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class I relationship
  • Narrow Arches
  • Midline Shift
  • Mandibular midline deviation
  • Crowding

Use of:

  • Elastics: Class II
  • Levelling Curve of Spee
  • Expansion
  • Extrusion
  • IPR
  • Power Ridge Feature on Buccal 4.1 (LR1), Buccal 3.1 (LL1)
  • Optimized Rotation Attachment (G3) on Buccal 1.5 (UR5), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized Extrusion Attachment (G3) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Optimized Multiplane Feature (G4) on Buccal 2.2 (UL2)
  • Optimized Root Control Attachments (G4) on Buccal 1.3 (UR3)
  • Pressure Areas (G5) on Lingual 4.3 (LR3)
Courtesy of Dr T. Komura 2018

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
  • NormalĀ  overjet and overbite achieved
  • Overjet improved
  • Midlines coincident
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Arch form improved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 19 months

Number of aligners

  • Maxillary: 28 + 17 = 45
  • Mandibular: 28 + 17 = 45

Aligner wear time

  • 2-weeks

Comments

  • This patient wore her aligners more than 19 hours a day