Openbite
,
Crowding
,
Rotations

Extrusion
,
Intrusion
,
IPR

Treatment information

  • Age: 24
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Diagnostic Summary

  • Openbite
  • Crowding
  • Rotations

Use of:

  • Extrusion
  • Intrusion
  • IPR
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1)
Courtesy of Dr N. Tungesvik 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

Treatment summary

Results Achieved

  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved

Total treatment Time

  • 13 months

Number of aligners

  • Maxillary: 23
  • Mandibular: 23

Aligner wear time

  • 2-weeks

Comments

  • 4.3 Was rotated - move distal out then retract
  • Fix root angulation on 3.1
  • Tip 1.1 and the 2.1 lingual to get passive intrusion, then extrude
  • Overall good arch form but anterior alignment need correction due to history of thumb sucking
  • IPR to prevent too much expansion due to thin gingiva on lowers
  • Finish with 1mm overbite and 1mm overjet

Retention

  • Maxillary:
  • Mandibular: