Class I
,
Anterior crossbite
,
Openbite
,
Crowding
,
Spacing

Distalization
,
Elastics: vertical
,
Extrusion
,
Retraction
,
IPR

Treatment information

  • Age: 28
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Anterior crossbite
  • Openbite
  • Crowding
  • Spacing

Use of:

  • Distalization
  • Extrusion
  • Retraction
  • IPR
  • Elastics: Vertical
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 2.3 (UL3), Lingual 2.3 (UL3), Lingual 2.4 (UL4), Lingual 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5)
  • Power ridge feature (G3) on Buccal 3.1 (LL1)
  • Optimized root control attachments (G4) on Buccal 2.4 (UL4)
  • Multi-tooth extrusion attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
Courtesy of Dr V. Laoamata 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

Treatment summary

Results Achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 20 months

Number of aligners

  • Maxillary: 17 + 15 + 11 = 43
  • Mandibular: 17 + 15 + 11 = 43

Aligner wear time

  • 1-week

Comments

  • This is an anterior open bite and spacing case with the proclination of upper and lower anterior teeth
  • Our treatment plan was to tip anterior teeth backward to close the open bite and to correct the spacing
  • Optimize multi-tooth extrusion attachment is very effective for this case
  •  Distalization and IPR were performed to correct patient's protrusive profile

Retention

  • Maxillary:
  • Mandibular: