Class I
,
Anterior crossbite
,
Narrow arches
,
Posterior crossbite
,
Asymmetric arches
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class III
,
Extrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR

Treatment information

  • Age: 34
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Anterior crossbite
  • Narrow arches
  • Posterior crossbite
  • Asymmetric arches
  • Midline shift
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Extrusion
  • Proclination
  • Retraction
  • IPR
  • Elastics: Class III
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 3.4 (LL4)
  • Optimized extrusion attachment (G3) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 2.2 (UL2)
  • Optimized multiplane (G4) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 2.3 (UL3)
Courtesy of Dr J. Naranjo 2019

Photos

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

ClinCheck treatment plan

video anterior
video right-left
video upper-lower
Download ADF files
Initial
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • 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
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 20 months

Number of aligners

  • Maxillary: 33 + 18 = 51
  • Mandibular: 33 + 18 = 51

Aligner wear time

  • 2-weeks

Comments

  • Use of Class II lastics only at nigth, 1/4 6 oz
  • Little expansion because of thin
  • No attachment used in Additional Aligners only power ridge on the 2.2
  • During the treatment with Additional Aligners the patient changed the aligners every 10 days