Class I
,
Anterior crossbite
,
Openbite
,
Narrow arches
,
Posterior crossbite
,
Crowding
,
Rotations

Extrusion
,
Expansion
,
Retraction
,
IPR

Treatment information

  • Age: 23
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Narrow arches
  • Anterior crossbite
  • Posterior crossbite
  • Openbite
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Extrusion
  • Retraction
  • IPR
  • Optimized rotation attachment (G3) on Buccal 4.5 (LR5)
  • Optimized extrusion attachment (G3) on Buccal 1.2 (UR2), Buccal 2.2 (UL2), Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 2.1 (UL1), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
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

Radiographs

ClinCheck treatment plan

video anterior
video right-left

Treatment summary

Results Achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal¬† overjet and overbite achieved
  • Midlines coincident
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case

Total treatment Time

  • 12 months

Number of aligners

  • Maxillary: 20 + 13 + 11 = 44
  • Mandibular: 20 + 13 + 11 = 44

Aligner wear time

  • 1-week

Comments

  • Treatment plan was to expand both arches to create a much wider smile transversely talking.
  • I performed IPR from mesial 3.4 to mesial of 3.3 this allowed me to retrocline the lower incisors to obtain a correct overjet and improving the overbite
  • We finished the case with upper and lower fixed retainers and removable

Retention

  • Maxillary:
  • Mandibular: