Class I
,
Anterior crossbite
,
Edge to edge bite
,
Narrow arches
,
Asymmetric arches
,
Midline shift
,
Rotations
,
Spacing
,
Diastema

Distalization
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Space Closure

Treatment information

  • Age: 42
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Anterior crossbite
  • Edge to edge bite
  • Narrow arches
  • Asymmetric arches
  • Midline shift
  • Rotations
  • Spacing
  • Diastema

Use of:

  • Distalization
  • Expansion
  • Extrusion
  • Intrusion
  • Retraction
  • IPR
  • Space Closure
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5)
  • Optimized extrusion attachment (G3) on Buccal 2.3 (UL3)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 2.2 (UL2), Buccal 3.3 (LL3), Buccal 3.4 (LL4)
Courtesy of Dr A. Izadi 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

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Overjet improved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Alignment of both arches through derotation
  • Arch form improved
  • Harmonic arches were achieved

Total treatment Time

  • 11 months

Number of aligners

  • Maxillary: 17
  • Mandibular: 24

Aligner wear time

  • 2-weeks

Comments

  • In this case we used a combination of retraction and derotation to achieve aesthetic results
  • 3mm vertical attachments were used on molars to prevent mesial drift of posterior dentition

Retention

  • Maxillary:
  • Mandibular: