Openbite
,
Mandibular midline deviation
,
Midline shift

Elastics: Class II
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
IPR

Treatment information

  • Age: 34
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Openbite
  • Mandibular midline deviation
  • Midline shift

Use of:

  • Expansion
  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • IPR
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 4.3 (LR3), Buccal 3.4 (LL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.5 (LR5)
Courtesy of Dr L. MacKenzie 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
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overbite
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case

Total treatment Time

  • 15 months

Number of aligners

  • Maxillary: 24 + 21 = 45
  • Mandibular: 24 + 21 = 45

Aligner wear time

  • 10 days, then 7 days

Comments

  • Closure of the anterior open bite by intrusion of maxillary and mandibular molars
  • Correction of the lower curve of Spee by extrusion of lower premolars
  • Correction of the Class II malocclusion using Class II elastics
  • Uprighting of the lower incisors using IPR

Retention

  • Maxillary:
  • Mandibular: