Class I
,
Deepbite
,
Narrow arches
,
Midline shift
,
Crowding

Phase I treatment / Interceptive
,
Elastics: Class II
,
Intrusion
,
Expansion
,
Proclination

Treatment information

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

Diagnostic Summary

  • Phase I treatment / Interceptive
  • Class I
  • Deepbite
  • Narrow arches
  • Midline shift
  • Crowding

Use of:

  • Expansion
  • Intrusion
  • Proclination
  • Elastics: Class II
  • Optimized retention attachment (Phase 1) on Buccal 3.5 (LL5)
  • Optimized expansion support attachment (Phase 1) on Buccal 1.5 (UR5), Buccal 1.6 (UR6), Buccal 4.5 (LR5), Buccal 4.6 (LR6), Buccal 3.6 (LL6), Lingual 3.5 (LL5), Lingual 3.6 (LL6)
Courtesy of Dr T. Gruelle 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

Treatment summary

Results Achieved

  • Class I relationship achieved
  • NormalĀ  overjet and overbite achieved
  • Midlines coincident
  • Arches aligned and coordinated
  • Arch form improved

Total treatment Time

  • 17 months

Number of aligners

  • Maxillary: 30 + 26 + 20 = 76
  • Mandibular: 30 + 26 + 20 = 76

Aligner wear time

  • 5 days

Comments

  • Invisalign first with molars expanded first then C's, D's and E's
  • Space created then refined to capture the UR2 which came in ectopically
  • The UL2 came in slower and we will refine if need be to capture and align it
  • When the delivery of the initial aligners was to occur, the LLB had not exfoliated. I placed an elastic around it and it fell out in 2 weeks.
  • The patient then began with aligner 3 on the lower and upper and great expansion in the lower arch was achieved

Retention

  • Maxillary:
  • Mandibular: