Class I
,
Crowding
,
Rotations

Leveling curve of Spee
,
Elastics: vertical
,
Extrusion
,
Expansion
,
IPR

Treatment information

  • Age: 35
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Extrusion
  • Leveling Curve of Spee
  • IPR
  • Elastics: Vertical
  • Optimized rotation attachment (G3)
  • Optimized extrusion attachment (G3)
  • Optimized root control attachments (G4)
  • Optimized deepbite attachments for anchorage (G5)
Courtesy of Dr S. Shih-Hsuan Chen 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 maintained
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • 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

  • 24 months

Number of aligners

  • Maxillary: 30 + 34 = 64
  • Mandibular: 44 + 31 = 75

Aligner wear time

  • 1-week

Comments

  • Crowding was resolved by proper arch expansion and IPR.
  • Mesial impact on 3.5 was successfully uprighted and extruded with optimized deepbite/extrusion attachment and the aid of vertical elastics
  • 3.2 derotation was achieved with pre-spacing before rotation started