Class I
,
Openbite
,
Spacing
,
Diastema

Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Retraction
,
IPR

Treatment information

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

Diagnostic Summary

  • Class I
  • Openbite
  • Spacing
  • Diastema

Use of:

  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • Retraction
  • IPR
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 4.3 (LR3), Buccal 3.3 (LL3)
  • Multi-tooth extrusion attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.4 (LR4), Buccal 3.4 (LL4)
Courtesy of Dr Y. Lu 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
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arch form improved
  • Harmonic arches were achieved

Total treatment Time

  • 16 months

Number of aligners

  • Maxillary: 16 + 17 = 33
  • Mandibular: 16 + 17 = 33

Aligner wear time

  • 2-weeks

Comments

  • We are very happy with the treatment outcome
  • Wearing aligners aided intrusion of posteriors and thus helped open bite closure
  • Making lingual surface of aligners ROUGH reduced tongue thrust habit
  • Frenectomy reduced diastema relapse