Increased overjet
,
Crowding

Elastics: vertical
,
Expansion
,
Retraction
,
First premolar extraction
,
IPR
,
Space Closure

Treatment information

  • Age: 39
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II
  • Increased overjet
  • Crowding

Use of:

  • Expansion
  • Extraction
  • Retraction
  • First Premolar extraction
  • IPR
  • Space Closure
  • Elastics: Vertical
  • Power ridge feature (G3)
  • Optimized root control attachments (G4)
  • First premolar extraction solution for maximum anchorage (G6)
Courtesy of Dr V. Laoamata 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 I relationship achieved
  • Normal  overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 24 months

Number of aligners

  • Maxillary: 15 + 38 + 27 = 80
  • Mandibular: 16 + 38 + 27 = 81

Aligner wear time

  • 1-week

Comments

  • Control root torque of anterior teeth while retracting them by keeping the power ridge along the treatment
  • Corrected the posterior open bite by elimination of the anterior interference and using the vertical elastics at the 3 last stages of the treatment
  • Keeping the third molars in the aligners to reinforce anchorage