Class I
,
Edge to edge bite
,
Openbite
,
Mandibular midline deviation
,
Midline shift
,
Rotations

Elastics: Class III
,
Extrusion
,
Expansion
,
Retraction
,
IPR

Treatment information

  • Age: 30
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class I relationship
  • Midline Shift
  • Mandibular midline deviation
  • Edge to edge bite
  • Openbite
  • Rotations

Use of:

  • Elastics: Class III
  • Expansion
  • Extrusion
  • IPR
  • Retraction
  • 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 1.5 (UR5), Buccal 4.3 (LR3), Buccal 4.5 (LR5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized Extrusion Attachment (G3) on Buccal 1.3 (UR3), Buccal 2.3 (UL3)
  • Multi-Tooth Extrusion Attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Optimized Root Control Attachments (G4) on Buccal 1.4 (UR4), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 3.3 (LL3)
  • Optimized DeepBite Attachments Activated for Premolar Extrusion (G5) on Buccal 4.4 (LR4)
Courtesy of Dr R. Bordin 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

Treatment summary

Results Achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved
  • Harmonic arches were achieved

Total treatment Time

  • 10 months

Number of aligners

  • Maxillary: 19 active
  • Mandibular: 16 active + 3 passive
  • Overcorrection Aligners not used

Aligner wear time

  • 2-weeks

Comments

  • The patient agreed in closing the open bite by anterior upper extrusion only, and accepted that she would show more of the anterior gengiva than before
  • I didn´t want to proclinate any teeth because she already has a thin gengival-type
  • I preferred to use IPRS instead to retract the lower anterior a little bit
  • To create space to the rotated upper anteriors, and to give her a proper overjet, protecting her anterior tooth from more wear.
  • I restored her incisal edges to the correct form.

Retention

  • Maxillary:
  • Mandibular: