Class I
,
Narrow arches
,
Crowding
,
Rotations

Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
IPR

Treatment information

  • Age: 40
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Narrow arches
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Extrusion
  • Intrusion
  • Proclination
  • IPR
  • Optimized rotation attachment (G3) on Buccal 2.3 (UL3), Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 1.1 (UR1), Buccal 1.3 (UR3), Buccal 2.1 (UL1)
  • Optimized multiplane (G4) on Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.5 (UR5), Buccal 2.5 (UL5), Buccal 4.4 (LR4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.5 (LR5), Buccal 3.4 (LL4)
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

Radiographs

ClinCheck treatment plan

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

Treatment summary

Results Achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • 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

  • 16 months

Number of aligners

  • Maxillary: 33
  • Mandibular: 30

Aligner wear time

  • 2-weeks

Comments

  • Expansion of both arches
  • Proclination to resolve anterior crowding
  • IPR and intrusion of the lower arch
  • Minor IPR and expansion in the upper arch
  • Minor extrusion of the 2.3 to achieve class I
  • The patient did not want any extractions