Class I
,
Increased overjet
,
Mandibular retrognathia
,
Narrow arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations

Phase II treatment
,
Leveling curve of Spee
,
Extrusion
,
Expansion
,
Proclination
,
IPR

Treatment information

  • Age: 12
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Diagnostic Summary

  • Class I
  • Narrow arches
  • Midline shift
  • Mandibular midline deviation
  • Maxillary midline deviation
  • Increased overjet
  • Crowding
  • Rotations
  • Asymmetric arches
  • Mandibular retrognathia

Use of:

  • Expansion
  • Extrusion
  • Leveling Curve of Spee
  • Proclination
  • IPR
  • Phase II treatment
  • During Short Period of 4-6 Weeks Medium Elastics 4 1/2 Oz ( 3.2mm ) for High Buccal Canine 23 Traction followed by iTero Additional Aligners.
  • Optimized rotation attachment (G3) on Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 1.e (URe), Buccal 2.e (ULe), Buccal 4.e (LRe), Buccal 3.e (LLe)
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 achieved
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • 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
  • Harmonic arches were achieved

Total treatment Time

  • 16 months

Number of aligners

  • Maxillary: 35 + 25 + 12 = 72
  • Mandibular: 35 + 25 + 12 = 72

Aligner wear time

  •  2 weeks, 10 days and 1 week for Additional Refinement Aligners

Comments

  • Clincheck Pro Space Achievement Features: Request For Pontics for Canines 13,23 at stage U0 of Clincheck.
  • Clincheck Request For Virtual Elimination Of Canines 13,23 Due To High Buccal Position.
  • Clincheck Pro features Staging for Pontics 13,23 Mesio-Distal Width Increments in order to achieve 7-7.5mm Space For Canines 13,23 Alignment.
  • Upper Midline 2mm Movement to the Right Side.
  • Lower Midline 1mm Shift to the Left Side.
  • Clinical Space Achievement Tracking : Space Achievement For Canine 23.
  • Clinical Rotation Tracking : Optimized Rotation Attachments For Canines 13,23,43.