Class I
,
Deepbite
,
Narrow arches
,
Posterior crossbite
,
Asymmetric arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Elastics: Class II
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
IPR

Treatment information

  • Age: 28
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Deepbite
  • Narrow arches
  • Posterior crossbite
  • Asymmetric arches
  • Mandibular midline deviation
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • IPR
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.5 (LL5)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 2.4 (UL4), Buccal 2.5 (UL5)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
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

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal¬† overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • 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

  • 10 months

Number of aligners

  • Maxillary: 24 + 14 + 3 = 41
  • Mandibular: 24 + 14 + 3 = 41

Aligner wear time

  • 1-week

Comments

  • Excellent patient collaboration
  • The aligners were changed weekly
  • We used elastics together with the bite ramps to maintain molar Class I and to avoid a posterior reposition of the mandible
  • The last set of aligners were used to close a diastema between 1.1 and 1.2.

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer