Class I
,
Openbite
,
Narrow arches
,
Posterior crossbite
,
Crowding
,
Rotations
,
Spacing

Leveling curve of Spee
,
Extrusion
,
Expansion
,
Proclination
,
IPR

Treatment information

  • Age: 14
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Diagnostic Summary

  • Class I
  • Openbite
  • Narrow arches
  • Posterior crossbite
  • Crowding
  • Rotations
  • Spacing

Use of:

  • Expansion
  • Extrusion
  • Leveling Curve of Spee
  • Proclination
  • IPR
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Optimized extrusion attachment (G3) on Buccal 1.3 (UR3)
  • Power ridge feature (G3) on Buccal 2.1 (UL1), Lingual 2.1 (UL1)
  • Optimized multiplane (G4) on Buccal 1.2 (UR2)
  • Optimized root control attachments (G4) on Buccal 2.2 (UL2), Buccal 2.4 (UL4), Buccal 4.5 (LR5)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 2.5 (UL5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
Courtesy of Dr. G. Dal Porto 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
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overbite
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 17 months

Number of aligners

  • Maxillary: 19 + 25 = 44
  • Mandibular: 19 + 25 = 44

Aligner wear time

  • 2-weeks

Comments

  • Optimal collaboration of the patient
  • Good treatment planning by creating space first with the expansion of both arches
  • Changing aligners every 2 weeks during the first phase of the treatment
  • During the additional aligners, weekly aligner change

Retention

  • Maxillary:
  • Mandibular: