Class I
,
Anterior crossbite
,
Deepbite
,
Narrow arches
,
Crowding

Intrusion
,
Expansion
,
Proclination
,
Space Closure

Treatment information

  • Age: 10
  • Gender: male
  • Invisalign Treatment Option: Invisalign First

Diagnostic Summary

  • Class I
  • Anterior crossbite
  • Deepbite
  • Narrow arches
  • Crowding

Use of:

  • Expansion
  • Intrusion
  • Proclination
  • Space Closure
  • Optimized extrusion attachment (G3) on Buccal 1.2 (UR2)
  • Optimized retention attachment (Phase 1) on Buccal 3.6 (LL6)
  • Optimized expansion support attachment (Phase 1) on Buccal 1.5 (UR5), Buccal 1.6 (UR6), Buccal 2.5 (UL5), Buccal 2.6 (UL6), Buccal 4.5 (LR5), Buccal 4.6 (LR6), Buccal 3.5 (LL5)
Courtesy of Dr T. Gruelle 2019

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final of Phase I
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
  • NormalĀ  overjet and overbite achieved
  • Midlines coincident
  • Arches aligned and coordinated
  • Arch form improved

Total treatment Time

  • 6 months

Number of aligners

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

Aligner wear time

  • 5 days

Comments

  • Invisalign first to expand upper arch and procline anterior teeth.
  • Retracted lower incisors
  • We will improve the occlusal in Phase II