Class I
,
Midline shift
,
Crowding
,
Rotations

Expansion
,
Proclination
,
IPR

Treatment information

  • Age: 44
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Midline shift
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Proclination
  • IPR
  • Optimized rotation attachment (G3) on Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 1.3 (UR3)
  • Power ridge feature (G3) on Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 2.3 (UL3), Buccal 2.5 (UL5), Buccal 4.3 (LR3)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.4 (LR4)
  • 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)
Courtesy of Dr. M. Aiemkrasin 2019

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final
lower
right
front
left

ClinCheck treatment plan

video anterior
video right-left
video upper-lower

Treatment summary

Results Achieved

  • Class I relationship maintained
  • Normal¬† overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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

  • 22 months

Number of aligners

  • Maxillary: 34 + 12 + 11 = 57
  • Mandibular: 34 + 17 + 16 = 67

Aligner wear time

  • 1-week

Comments

  • Excellent patient cooperation
  • We corrected the crowding by gaining space through expansion and IPR

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer