Mandibular midline deviation
,
Crowding
,
Deepbite
,
Narrow arches
,
Midline shift
,
Pre-restorative
,
Rotations

Leveling curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Veneers

Treatment information

  • Age: 35
  • Gender: male
  • Invisalign Treatment Option: Invisalign Lite

Diagnostic Summary

  • Class I
  • Narrow arches
  • Midline shift
  • Mandibular midline deviation
  • Maxillary midline deviation
  • Deepbite
  • Crowding
  • Rotations
  • Pre-restorative

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • IPR
  • Pre-restorative
  • Veneers
  • Optimized rotation attachment (G3) on Buccal 1.5 (UR5), Buccal 4.3 (LR3), Buccal 4.5 (LR5), Buccal 3.3 (LL3)
  • Power ridge feature (G3) on Buccal 3.1 (LL1)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 1.4 (UR4), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Buccal 4.4 (LR4), Buccal 3.5 (LL5)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 2.5 (UL5), Buccal 3.4 (LL4)
  • Pressure areas (G5) on Lingual 1.1 (UR1), Lingual 2.2 (UL2), Lingual 4.2 (LR2)
Courtesy of Dr M. Pedernera 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 maintained
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • Deepbite improved
  • Midlines coincident
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case

Total treatment Time

  • 7 months

Number of aligners

  • Maxillary: 14 + 14 = 28
  • Mandibular: 14 + 14 = 28

Aligner wear time

  • Every 2 weeks in the firts set of aligners and every week in the additional aligners stage

Comments

  • The chief concern was the crowded anterior teeth, the lack of leveling of the incisal edges and the narrow arches
  • The patient was aware that the front teeth were aesthetically not acceptable and needed work at the end of the orthdontic treatment
  • Treatment plan was to expand slightly both arches to improve the narrow arches
  • Solve the lower incisors crowding through proclination
  • Asymmetric IPR was planned in order to center the midlines
  • After the orthodontic treatment DSD protocol was done and veneers from upper right to upper left bicuspid were designed and bonded
  • The space for an implant in 2.4 was maintained and placed in the last stage