Class I
,
Anterior crossbite
,
Deepbite
,
Narrow arches
,
Posterior crossbite
,
Mandibular midline deviation
,
Midline shift
,
Rotations
,
Spacing
,
Diastema

Phase I treatment / Interceptive
,
Intrusion
,
Expansion
,
Space Closure

Treatment information

  • Age: 7
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

Diagnostic Summary

  • Class I
  • Narrow arches
  • Anterior crossbite
  • Posterior crossbite
  • Midline shift
  • Mandibular midline deviation
  • Deepbite
  • Rotations
  • Spacing
  • Diastema

Use of:

  • Expansion
  • Intrusion
  • Space Closure
  • Phase I treatment / Interceptive
  • Precision bite ramp (G5) on Lingual 1.1 (UR1)
Courtesy of Dr E. Rothier 2019

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final of Phase I
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
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal¬† overjet and overbite achieved
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 6 months

Number of aligners

  • Maxillary: 36 + 46 = 82
  • Mandibular: 36 + 46 = 82

Aligner wear time

  • 4 days

Comments

  • The patient had a class I relationship with anterior and posterior crossbite
  • We used the Precision bite ramps to help with the decouple
  • In the posterior region, the placement of occlusal attachments was also planned for posterior dis occlusion, however the resin was not placed in them
  • Tooth 2.6 was not moved to increase anchorage control
  • Active start of the treatment took a while the initial phase and the additional phase did not start from aligner number 1. We chose the aligner that had the best fit and used to start the treatment

Retention

  • Maxillary:
  • Mandibular: