Class I
,
Anterior crossbite
,
Deepbite
,
Midline shift
,
Crowding

Distalization
,
Intrusion
,
Expansion
,
IPR

Treatment information

  • Age: 31
  • Gender: F
  • Invisalign Treatment Option: Full

Chief Concern

  • Crossbite and crowding

Diagnostic Summary

  • Class I relationship
  • Crossbite of the  UR2
  • Increase deepbite
  • Mandibular midline deviation to right
  • Maxillary and Mandibular  crowding

Treatment Plan and ClinCheck Analysis

  • Improved deepbite mainly by intrusion of lower anterior teeth
  • Posterior expansion and distalization of the right side to improve crowding and correct crossbite
  • Adjustment of midlines
  • Partial anterior alignment to motivate the patient with some esthetic result before starting to distalize the upper right side molars
  • Sequential attachment placement in order to gain a better fitting of upper and lower aligners and therefore to not lose anchorage

Use of:

  • Distalization
  • Intrusion
  • Expa
Courtesy of Dr. Malekian 2011

Photos

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

Radiographs

  • Wisdom teeth 1.8 (UR8) and 4.8 (LR8) were extracted in order to create space for upper and lower right side distalisation

ClinCheck treatment plan

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

Treatment summary

Results Achieved:

  • Anterior crossbite corrected
  • Midlines were successfully adjusted
  • Harmonic arches were achieved
  •  Aesthetic smile created

Total treatment time:

  • 29 months

Number of Aligners:

  • Maxillary: 40+10=51
  • Mandibular: 45+16=61

Comments:

  • This case was presented in the European Summit in Barcelona 2011 under the title “Non Extraction Complex Treatments”
  • Refinement was made with new photos and new impressions

Retention:

    • Maxillary: Vivera retainers
    • Mandibular: Vivera retainers