Class I
,
Posterior crossbite
,
Deep bite
,
Midline shift
,
Crowding
,
Rotations
,
Impacted canines

Restorative
,
Expansion
,
Proclination
,
IPR
,
Elastics: Class II
,
Elastics: Class III
Courtesy of Dr J. Koning, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 21 months

Number of aligners

  • Maxillary: 20 + 25 = 45
  • Mandibulary: 20 + 25 = 45

Aligner Wear time

  • 2-weeks

Results achieved

  • Class I relationship achieved
  • Posterior crossbite corrected
  • Midlines coincident
  • Arch form improved

Comments

  • In the first phase the treatment goal was to expand arches and to create space for 1.3.
  • Planned mid-course correction was done after 20 aligners
  • Second phase of treatment included 25 aligners, class III elastics on the right and class II elastics on the left to correct the mid-line further and to reach class I occlusion.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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ClinCheck treatment plan

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Smartforce features

  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 4.3 (LR3), Buccal 3.3 (LL3)
  • Optimized extrusion attachment (G3) on Buccal 4.2 (LR2)
  • Optimized root control attachments (G4) on Buccal 2.3 (UL3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.4 (LL4)
  • Multi-tooth extrusion attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
Download ADF files:
Initial
Mid Course Correction