Class I
,
Deepbite
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Proclination

Treatment information

  • Age: 32
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Deepbite
  • Midline shift
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 2.1 (UL1), Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 1.5 (UR5), Buccal 2.2 (UL2), Buccal 2.5 (UL5), Buccal 3.5 (LL5)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 2.4 (UL4)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
Courtesy of Dr M. Aiemkrasin 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

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved

Total treatment Time

  • 30 months

Number of aligners

  • Maxillary: 42 + 24 + 17 = 83
  • Mandibular: 42 + 34 + 18 = 94

Aligner wear time

  • 1-week

Comments

  • Use of Class II inter maxillary elastics to help control anchorage
  • Proclination of the upper incisors
  • Space gained from expansion which helped to correct lower crowding
  • Motivating the patient in wear time and using chewies