Class I
,
Deepbite
,
Posterior crossbite
,
Asymmetric arches
,
Crowding
,
Rotations

Restorative
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
Other extraction
,
IPR

Treatment information

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

Diagnostic Summary

  • Class I
  • Deepbite
  • Posterior crossbite
  • Asymmetric arches
  • Crowding
  • Rotations

Use of:

  • Restorative
  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • Extraction
  • IPR
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 4.3 (LR3)
  • Optimized extrusion attachment (G3) on Buccal 3.2 (LL2), Buccal 3.3 (LL3)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 4.5 (LR5), Buccal 3.5 (LL5)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 2.4 (UL4), Buccal 4.4 (LR4), Buccal 3.4 (LL4)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 2.1 (UL1)
Courtesy of Dr D. Crosby 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 maintained
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 16 months

Number of aligners

  • Maxillary: 29 + 19 = 48
  • Mandibular: 29 + 15 = 44

Aligner wear time

  • 2-weeks

Comments

  • Deep bite was controlled with posterior anchorage attachments, both maxillary and mandibular
  • Maxillary lingual bite ramps, and intrusion of incisors
  • Better results were achieved on the lower arch with the leveling of the curve of Spee
  • The upper anterior teeth were more difficult because of the missing lateral incisor and the internal resorption present on the right central incisor
  • Arch coordination was achieved in conjunction with his dentist to make sure that we achieved canine guidance and proper spacing for future dental work

Retention

  • Maxillary:
  • Mandibular: