Class I
,
Openbite
,
Mandibular midline deviation
,
Crowding
,
Rotations

Leveling curve of Spee
,
Expansion
,
Proclination
,
IPR

Treatment information

  • Age: 25
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Openbite
  • Mandibular midline deviation
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Leveling Curve of Spee
  • Proclination
  • IPR
  • Optimized rotation attachment (G3) on Buccal 1.5 (UR5), Buccal 2.5 (UL5)
  • Optimized extrusion attachment (G3) on Buccal 1.3 (UR3)
  • Optimized root control attachments (G4) on Buccal 3.4 (LL4)
  •  Optimized deepbite attachments for anchorage (G5)on Buccal 1.4 (UR4), Buccal 2.4 (UL4), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.5 (LL5)
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
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Curve of Spee leveled
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case

Total treatment Time

  • 7 months

Number of aligners

  • Maxillary: 11 + 1 = 12
  • Mandibular: 11 + 1 = 12

Aligner wear time

  • 2-weeks

Comments

  • Correction of crowding and rotations was performed with the help of IPR and with minimal tooth expansion.
  • Second molars were not moved for better long term treatment stability and anchorage control
  • A new sequence of additional aligners was requested for a better completion of posterior occlusion, however, to our surprise, there was a natural accommodation and the sequencing of additional aligners was not necessary.