Class I
,
Increased overjet
,
Deepbite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Leveling curve of Spee
,
Retraction
,
First premolar extraction
,
IPR
,
Space Closure

Treatment information

  • Age: 28
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Increased overjet
  • Deepbite
  • Narrow arches
  • Asymmetric arches
  • Mandibular midline deviation
  • Midline shift
  • Crowding
  • Rotations

Use of:

  • Leveling Curve of Spee
  • Extraction
  • Retraction
  • First Premolar extraction
  • IPR
  • Space Closure
  • Elastics: Class II
  • Power ridge feature (G3) on Buccal 3.2 (LL2)
  • Optimized multiplane (G4) on Buccal 2.2 (UL2)
  • First premolar extraction solution for maximum anchorage (G6) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 1.6 (UR6), Buccal 1.7 (UR7), Buccal 2.3 (UL3), Buccal 2.5 (UL5), Buccal 2.6 (UL6), Buccal 2.7 (UL7), Buccal 4.3 (LR3), Buccal 4.5 (LR5), Buccal 4.6 (LR6), Buccal 4.7 (LR7), Buccal 3.3 (LL3), Buccal 3.5 (LL5), Buccal 3.6 (LL6), Buccal 3.7 (LL7)
Courtesy of Dr J. Kothari 2019

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final
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

Treatment summary

Results Achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 26 months

Number of aligners

  • Maxillary: 45
  • Mandibular: 45

Aligner wear time

  • 2-weeks

Comments

  • Treatment plan was to extract 1.4,2.4,3.4 and 4.4
  • Level and align the upper and lower arches
  • Retract using the G6 protocol for maximum anchorage
  • Patient wore aligners at 2 week intervals
  • Class II Elastics were used from aligner 32-42 on Both sides

Retention

  • Maxillary:
  • Mandibular: