Class I
,
Increased overjet
,
Deepbite
,
Crowding

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

Treatment information

  • Age: 34
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

Diagnostic Summary

  • Class I
  • Increased overjet
  • Deepbite
  • Crowding

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Extraction
  • Retraction
  • First Premolar extraction
  • IPR
  • Elastics: Class II
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 1.6 (UR6), Buccal 1.7 (UR7), Buccal 2.3 (UL3), Buccal 4.4 (LR4), Buccal 3.4 (LL4)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
  • First premolar extraction solution for maximum anchorage (G6) on Buccal 1.5 (UR5), Buccal 1.6 (UR6), Buccal 1.7 (UR7)
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

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case

Total treatment Time

  • 31 months

Number of aligners

  • Maxillary: 69 + 31 = 100
  • Mandibular: 69 + 31 = 100

Aligner wear time

  • 7~10 days

Comments

  • We used the Class II elastics to increase the anchorage of the upper arch
  • Maxillary wisdom teeth were maintained for anchorage
  • Bite-ramps were used to prevent anterior deep bite
  • Lower 4.4 were retracted and intruded by frog pattern

Retention

  • Maxillary:
  • Mandibular: