Class I
,
Anterior crossbite
,
Deepbite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Pre-restorative

Expansion
,
Retraction
,
Proclination
,
Other extraction
,
IPR
,
Restorative
,
Implants

Treatment information

  • Age: 56
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Anterior crossbite
  • Deepbite
  • Narrow arches
  • Asymmetric arches
  • Maxillary midline deviation
  • Midline shift
  • Crowding
  • Rotations
  • Pre-restorative

Use of:

  • Expansion
  • Proclination
  • Extraction
  • Retraction
  • IPR
  • Restorative
  • Implants
  • Power ridge feature (G3)
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 2.2 (UL2), Buccal 4.1 (LR1), Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 1.5 (UR5), Buccal 4.5 (LR5)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 2.4 (UL4)
Courtesy of Dr. R. Lie 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
  • Normal¬† overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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

  • 11 months

Number of aligners

  • Maxillary: 18 + 24 = 42
  • Mandibular: 18 + 24 = 42

Aligner wear time

  • 1-week

Comments

  • The upper right central incisor was extracted prior to the commencement of orthodontic treatment
  • The desired outcome was achieved by a combination of arch expansion in the upper arch and retraction of the lower anterior teeth
  • The space for the missing upper right central incisor was planned to the same dimension as the upper left central incisor
  • Interproximal enamel reduction was performed in the lower arch for relieve of crowding and for retraction of the anterior teeth
  • Lingual root torque was added to the lower incisors for control of the root inclination during retraction

Retention

  • Maxillary:
  • Mandibular: