Deepbite
,
Narrow arches
,
Crowding

Phase I treatment / Interceptive
,
Intrusion
,
Expansion
,
Proclination

Treatment information

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

Diagnostic Summary

  • Phase I treatment / Interceptive
  • Deepbite
  • Narrow arches
  • Crowding

Use of:

  • Expansion
  • Intrusion
  • Proclination
  • Optimized rotation attachment (G3) on Buccal 1.5 (UR5), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.4 (LR4)
  • Optimized extrusion attachment (G3) on Buccal 1.2 (UR2), Buccal 2.2 (UL2), Buccal 3.2 (LL2)
  • Power ridge feature (G3) on Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 2.1 (UL1)
  • Precision wings (MA)
Courtesy of Dr F. Garino 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
Download ADF files
Initial
Additional Aligners

Treatment summary

Results Achieved

  • Normal overjet and overbite achieved
  • Midlines coincident
  • Arches aligned and coordinated
  • Arch form improved

Total treatment Time

  • 14 months

Number of aligners

  • Maxillary: 15 + 15 = 30
  • Mandibular: 25 + 12 = 37

Aligner wear time

  • 1-week

Comments

  • The treatment plan was to correct the crowding of both arches was expansion on both permanent and deciduous teeth
  • Expansion 2 mm per quadrant
  • Deep bite corrected through the upper intrusion of central incisors with the use of bite ramps
  • In the lower arch, I expanded the same amount on both the permanent and the deciduous teeth.
  • We kept the lower first molars still in the initial position.

Retention

  • Maxillary:
  • Mandibular: