Class I
,
Anterior crossbite
,
Deepbite
,
Narrow arches
,
Crowding

Phase I treatment / Interceptive
,
Intrusion
,
Expansion
,
Proclination

Treatment information

  • Age: 10
  • Gender: male
  • Invisalign Treatment Option: Invisalign First

Diagnostic Summary

  • Class I
  • Crowding
  • Narrow Arches
  • Deep bite
  • Anterior Crossbite
  • Constricted Airway

Use of:

  • Expansion
  • Intrusion
  • Proclination
  • Phase I treatment
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Lingual 1.1 (UR1), Buccal 2.1 (UL1)
  • Optimized Multiplane attachment (G4)
  • Optimized retention attachment(Phase I)
  • Optimized expansion attachment(Phase I)
Courtesy of Dr M. Garlington 2019
Award 2018 Summit Shoot out

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final of Phase I
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 achieved

Total treatment Time

  • 7 months

Number of aligners

  • Maxillary: 0 + 23 = 23
  • Mandibular: 12 + 27 = 39

Aligner wear time

  • 1-week

Comments

  • Initially used a RPE combined with lower "Invisalign First" to expand the upper 2.0 mm per side and the lower 1.5 mm per side
  • After stage 12 on the lower, the RPE was removed and a refinement was done both upper and lower to finish the upper and lower expansion, eliminate the crowding and remove UL2 from crossbite
  • Patient was also referred to the ENT for removal of tonsils and adenoids.