Class I
,
Deepbite
,
Posterior crossbite
,
Midline shift
,
Crowding
,
Rotations
,
Impacted canines

Restorative
,
Elastics: Class II
,
Elastics: Class III
,
Expansion
,
Proclination
,
IPR

Treatment information

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

Diagnostic Summary

  • Class I
  • Deepbite
  • Posterior crossbite
  • Midline shift
  • Crowding
  • Rotations

Use of:

  • Restorative
  • Expansion
  • Proclination
  • IPR
  • Elastics: Class II
  • Elastics: Class III
  • 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)
Courtesy of Dr J. Koning 2019

Photos

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

Radiographs

ClinCheck treatment plan

video anterior
video right-left
video upper-lower
Download ADF files
Initial
Mid Course Correction

Treatment summary

Results Achieved

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

Total treatment Time

  • 21 months

Number of aligners

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

Aligner wear time

  • 2-weeks

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.

Retention

  • Maxillary:
  • Mandibular: