Class I
,
Edge to edge bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Leveling curve of Spee
,
Extrusion
,
Expansion
,
Retraction
,
IPR

Treatment information

  • Age: 40
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

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

Use of:

  • Expansion
  • Extrusion
  • Leveling Curve of Spee
  • Retraction
  • IPR
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 2.4 (UL4), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Lingual 1.1 (UR1), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Lingual 2.1 (UL1)
  • Optimized root control attachments (G4) on Buccal 1.5 (UR5), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.4 (LR4)
  • Multi-tooth extrusion attachments (G4) on Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1)
Courtesy of Dr E. Rothier 2019

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
video upper-lower
Download ADF files
Initial

Treatment summary

Results Achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • NormalĀ  overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • All treatment goals were achieved case

Total treatment Time

  • 12 months

Number of aligners

  • Maxillary: 20
  • Mandibular: 20

Aligner wear time

  • 1-week

Comments

  • Correction of the lower midline
  • Retraction of the lower anterior teeth
  • Asymmetric IPR on the left side helped with a fast correction and to avoid the use of intermaxillary elastics