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

Phase I treatment / Interceptive
,
Intrusion
,
Expansion
,
Proclination

Treatment information

  • Age: 8
  • Gender: male
  • Invisalign Treatment Option: Invisalign First

Diagnostic Summary

  • Phase I treatment / Interceptive
  • Class I
  • Anterior crossbite
  • Deepbite
  • Narrow arches
  • Crowding

Use of:

  • Expansion
  • Intrusion
  • Proclination
  • Optimized extrusion attachment (G3) on Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Optimized retention attachment (Phase 1) on Buccal 1.5 (UR5), Buccal 4.6 (LR6)
  • Optimized expansion support attachment (Phase 1) on Buccal 2.5 (UL5), Buccal 2.6 (UL6), Buccal 4.5 (LR5), Lingual 4.6 (LR6), Buccal 3.5 (LL5), Buccal 3.6 (LL6)
Courtesy of Dr R. Blevins 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
Click to compare enlarged
upper
Progress
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

  • Arch form improved

Total treatment Time

  • 16 months

Number of aligners

  • Maxillary: 40 + 36 = 76
  • Mandibular: 40 + 36 = 76

Aligner wear time

  • 1-week

Comments

  • Results were achieved using aligners only
  • Expansion measurements:
    achieved 4 mm add't from 1st molar
    achieved 6 mm add't from 2nd primary molars
    achieved 6 mm add't from 1st primary molars
  • We didn't use all the Additional Aligners because were were happy with the expansion achieved after Aligner 36

Retention

  • Maxillary:
  • Mandibular:

Publication


Invisalign First - Expansion
English 2019

Dr. Blevins