Class I
,
Edge to edge bite
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Crowding
,
Rotations

Expansion
,
Retraction
,
IPR
,
Pre-PVS IPR

Treatment information

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

Diagnostic Summary

  • Class I
  • Edge to edge bite
  • Narrow arches
  • Maxillary midline deviation
  • Mandibular midline deviation
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Retraction
  • IPR
  • Pre-PVS IPR
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 2.3 (UL3), Buccal 4.4 (LR4), Buccal 3.4 (LL4)
  • Optimized extrusion attachment (G3) on Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2), Buccal 3.3 (LL3)
  • Power ridge feature (G3) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 1.4 (UR4), Buccal 4.3 (LR3)
Courtesy of Dr. R. Echeverria 2019

Photos

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

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • NormalĀ  overjet and overbite achieved
  • Midlines coincident
  • Arch form improved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 25 months

Number of aligners

  • Maxillary: 25 + 14 = 39
  • Mandibular: 25 + 14 = 39

Aligner wear time

  • 2-weeks

Comments

  • We achieved this result with the expansion of the upper arch, aligning and retracting the upper incisors with Interproximal Reduction; in the lower arch, the alignment and retraction were achieved with IPR as well