Class I
,
Deepbite
,
Narrow arches
,
Crowding
,
Rotations

Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination

Treatment information

  • Age: 13
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

Diagnostic Summary

  • Class I
  • Deepbite
  • Narrow arches
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Optimized multiplane (G4) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 3.4 (LL4)
  • Optimized deepbite attachments activated for premolar extrusion (G5) on Buccal 1.5 (UR5), Buccal 3.4 (LL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 2.4 (UL4)
  • Optimized support attachment (G7) on Buccal 1.2 (UR2)
Courtesy of Dr M. Pedernera 2019

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final
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

Treatment summary

Results Achieved

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

Total treatment Time

  • 13 months

Number of aligners

  • Maxillary: 44 + 24 + 13 = 81
  • Mandibular: 44 + 24 + 13 = 81

Aligner wear time

  • 1-week

Comments

  • Treatment plan was to expand both arches to improve the narrow arches
  • Procline the upper and lower incisors
  • The overbite was improved by the virtual intrusion due to proclination of the anterior teeth
  • The most challenging issue to be solved was the rotation of 4.5 that had to be rotated more than 52 degrees
  • I planned to do this rotation with the help of a button placed on lingual of 4.6 and lingual of 4.5 which was very efficient
  • In my opinion what was important in this case is taking the bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position, this helped to reduce the number of aligners for the first stage