Class I
,
Deepbite
,
Narrow arches
,
Posterior crossbite
,
Midline shift
,
Crowding
,
Rotations

Leveling curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Overtreatment

Treatment information

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

Diagnostic Summary

  • Class I
  • Deepbite
  • Narrow arches
  • Posterior crossbite
  • Midline shift
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • IPR
  • Overtreatment
  • Optimized rotation attachment (G3) on Buccal 2.2 (UL2), Buccal 3.4 (LL4)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 1.3 (UR3), Buccal 2.4 (UL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.4 (UR4)
  • Pressure areas (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
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • 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

  • 28 months

Number of aligners

  • Maxillary: 59 + 42 = 101
  • Mandibular: 59 + 42 = 101

Aligner wear time

  • 7-10 days

Comments

  • Crowding was resolved with expansion and IPR
  • Expansion was achieved with buccal uprighting of lingually tipped canines and posterior teeth
  • Deepbite was corrected with anterior intrusion and establishment of proper incisor inclination
  • Frog pattern staged intrusion of lower 3-3 was employed.
  • Scissor bite was corrected.