Class I

Elastics: Class II
,
Leveling curve of Spee
,
Retraction
,
Other extraction
,
Lower incisor extraction
,
Space Closure
,
Restorative

Treatment information

  • Age: 26
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I

Use of:

  • Leveling Curve of Spee
  • Extraction
  • Retraction
  • Lower incisor extraction
  • Space Closure
  • Elastics: Class II
  • Pre-restorative
  • First premolar extraction solution for maximum anchorage (G6)
  • Power ridge
  • Optimized rotation attachment (G3)
  • Optimized root control attachments (G4)
  • Pressure areas (G5)
  • Optimized deepbite attachments for anchorage (G5)
  • Multi-tooth unit first premolar extraction planned for maximum anchorage (G6)
Courtesy of Dr C. Wu 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

Treatment summary

Results Achieved

  • Class II relationship maintained
  • Functional canine guidance on both sides
  • Deepbite improved
  • Midlines coincident
  • Curve of Spee levelled

Total treatment Time

  • 24 months

Number of aligners

  • Maxillary: 43 + 24 + 18 = 85
  • Mandibular: 43 + 24 + 18 = 85

Aligner wear time

  • 1-week

Comments

  • I Extracted the upper first premolars and 1 lower middle incisor.
  • Retracted upper and lower incisors with palatal root torque on maximum anchorage to improve lip profile.
  • Upper molar forward crown tipping occurred during upper incisors retraction.
  • Upper molars are up righted during 1st refinement, mesial root tip added, with appropriate attachment control.
  • Spaces are redistributed in upper incisors region for composite build up on upper 4 incisors to reduce tooth size discrepancy

Retention

  • Maxillary:
  • Mandibular: