Class I
,
Narrow arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Expansion
,
Proclination
,
IPR
Courtesy of Dr. E. Rothier, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 38
  • Gender: female
  • Invisalign Submission Option: Invisalign Express

Total Treatment Time

  • 7 months

Number of aligners

  • Maxillary: 7 + 5 = 12
  • Mandibulary: 7 + 5 = 12

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Vivera retainer

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
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • a Patient with mandible crowding and midline deviation
  • Both were corrected using asymmetric IPR only on the right side of the mandible
  • An IPR of 0.3mm was planned, but only 0.2mm performed between the teeth to ensure space closure
  • After the first successful alignment sequence, the patient requested a change in the treatment plan to reposition the upper lateral incisors as an aesthetic demand
  • The patient was really happy with this fast Invisalign treatment and final result while she could keep her normal routine

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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ClinCheck treatment plan

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Smartforce features

  • Optimized rotation attachment (G3) on Buccal 3.3 (LL3)
  • Optimized extrusion attachment (G3) on Buccal 2.2 (UL2)
  • Optimized multiplane (G4) on Buccal 1.2 (UR2)
  • Optimized root control attachments (G4) on Buccal 2.1 (UL1), Buccal 4.3 (LR3)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.4 (LR4), Buccal 3.4 (LL4)
  • Pressure areas (G5) on Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
Download ADF files:
Initial
Refinement