Pre-restorative
,
Class I
,
Anterior crossbite
,
Increased overjet
,
Narrow arches
,
Asymmetric arches
,
Crowding
,
Rotations

Restorative
,
Elastics: Class II
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
First premolar extraction
,
IPR
,
Space Closure

Treatment information

  • Age: 38
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Restorative
  • Class I
  • Anterior crossbite
  • Increased overjet
  • Narrow arches
  • Asymmetric arches
  • Crowding
  • Rotations
  • Pre-restorative

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Extraction
  • Retraction
  • First Premolar extraction
  • IPR
  • Space Closure
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 3.4 (LL4)
  • Power ridge feature (G3) on Buccal 4.1 (LR1), Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 4.5 (LR5)
  • Pressure areas (G5) on Lingual 1.1 (UR1), Lingual 2.1 (UL1), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
  • First premolar extraction solution for maximum anchorage (G6) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 1.6 (UR6), Buccal 1.7 (UR7), Buccal 2.3 (UL3), Buccal 2.5 (UL5), Buccal 2.6 (UL6), Buccal 2.7 (UL7)
Courtesy of Dr. D. She 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

  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal¬† overjet and overbite achieved
  • Overjet improved
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line¬†was achieved

Total treatment Time

  • 29 months

Number of aligners

  • Maxillary: 70 + 14 = 84
  • Mandibular: 70 + 30 = 100

Aligner wear time

  • 7~10 days

Comments

  • We used the G6 First premolar extraction solution in the upper arch
  • 1.8, 2.8 and the bridge of 2.5-2.7 helped to increase the anchorage
  • Lower incisors were intruded before the intrusion of lower canines
  • Implant for tooth 4.6 after aligner treatment
  • Crowns and veneers for the upper and lower anterior, to change the color and shape of the teeth