Class I
,
Increased overjet
,
Mandibular retrognathia
,
Openbite
,
Deepbite
,
Narrow arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

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

Treatment information

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

Diagnostic Summary

  • Class I
  • Increased overjet
  • Mandibular retrognathia
  • Openbite
  • Deepbite
  • Narrow arches
  • Mandibular midline deviation
  • Midline shift
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • Retraction
  • IPR
  • Elastics: Vertical
  • Elastics: Class II
  • Class II Elastics in Additional Aligners
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 4.3 (LR3), Buccal 3.3 (LL3), Buccal 3.5 (LL5)
  • Optimized multiplane (G4) on Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.4 (UR4), Buccal 2.4 (UL4)
Courtesy of Dr. S. Palma Moya 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 achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • 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

  • 18 months

Number of aligners

  • Maxillary: 30 + 11 = 41
  • Mandibular: 30 + 11 = 41

Aligner wear time

  • 2-weeks

Comments

  • To correct this patient's crossbite we treated him successfully with the Invisalign Teen treatment option and elastics.

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded