Class I
,
Anterior crossbite
,
Deepbite
,
Spacing

Phase I treatment / Interceptive
,
Intrusion
,
Space Closure

Treatment information

  • Age: 9
  • Gender: female
  • Invisalign Treatment Option: Invisalign First

Diagnostic Summary

  • Class I
  • Anterior crossbite
  • Deepbite
  • Spacing

Use of:

  • Phase I treatment / Interceptive
  • Intrusion
  • Space Closure
  • Optimized extrusion attachment (G3) on Buccal 2.1 (UL1)
  • Power ridge feature (G3) on Buccal 4.1 (LR1)
  • Optimized extrusion attachments for molars (G7+) on Buccal 1.6 (UR6), Buccal 2.6 (UL6)
  • Optimized retention attachment (Phase 1) on Buccal 1.5 (UR5), Buccal 2.5 (UL5), Buccal 4.6 (LR6)
  • Optimized expansion support attachment (Phase 1) on Buccal 4.5 (LR5), Buccal 3.5 (LL5)
Courtesy of Dr. T. Gruelle 2019

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final of Phase I
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

  • Arches aligned and coordinated

Total treatment Time

  • 8 months

Number of aligners

  • Maxillary: 21 + 22 = 43
  • Mandibular: 21 + 22 = 43

Aligner wear time

  • 5 days

Comments

  • Sequential constriction of arches
  • When the crossbite was being jumped and traumatic occlusion occurred, she simply wore her lower aligner
  • The soft tissue is adapting and after phase II it will look even more great

Retention

  • Maxillary: Other
  • Mandibular: Other