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

Elastics: Class III
,
Leveling curve of Spee
,
Extrusion
,
Expansion
,
Retraction
,
IPR

Treatment information

  • Age: 33
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Midline shift
  • Mandibular midline deviation
  • Maxillary midline deviation
  • Edge to edge bite
  • Openbite
  • Crowding
  • Rotations
  • Asymmetric arches

Use of:

  • Expansion
  • Extrusion
  • Leveling Curve of Spee
  • Retraction
  • IPR
  • Elastics: Class III
  • Optimized rotation attachment (G3) on Buccal 4.3 (LR3), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 1.3 (UR3)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 2.4 (UL4), Buccal 4.4 (LR4)
Courtesy of Dr K. Malekian 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 maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal¬† overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • 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

Total treatment Time

  • 25 months

Number of aligners

  • Maxillary: 29 + 15 + 21 = 65
  • Mandibular: 29 + 15 + 12 = 56

Aligner wear time

  • Treatment Progressive Aligner Change 14-10-7 days regarding patient Higjh Compliance/ We checked that the patient Missed Some Months Visiting Office Due To Pregnancy and child birth. We congratualted the patient for very high compliance 22 hours Aligner

Comments

  • 1.Upper and Lower Incisor & Canine Crowding :IPR Clincheck Planification.
    2Align & Retract Upper and Lower Incisors : IPR Clincheck Planification.( Dental Biprotussion Improve with Non-Extraction Approach )
    3.Class III Elastics ( Night wear: 8 Hours)
    4. Premature Anterior Contact Relief : Additional Aligners.(Refinement)
    5.Upper & Lower Vivera Retainer ( 8 Hours night time )
    6.Fixed Lingual Retainer 0.15 : Lower arch 3-3.