Class I
,
Increased overjet
,
Deepbite
,
Narrow arches
,
Midline shift
,
Crowding
,
Rotations

Leveling curve of Spee
,
Intrusion
,
Expansion
,
Retraction

Treatment information

  • Age: 20
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Increased overjet
  • Deepbite
  • Narrow arches
  • Midline shift
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Retraction
  • Optimized rotation attachment (G3) on Buccal 2.3 (UL3), Buccal 4.3 (LR3)
  • Power ridge feature (G3) on Buccal 2.1 (UL1)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.4 (UR4), Buccal 2.4 (UL4), Buccal 4.5 (LR5)
Courtesy of Dr. A. Nayak 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
Download ADF files
Initial

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case

Total treatment Time

  • 8 months

Number of aligners

  • Maxillary: 27
  • Mandibular: 27

Aligner wear time

  • 10 days

Comments

  • To open the deep bite we didn't want to intrude the upper incisors too much
  • We opted to intrude the lower incisors with proclination
  • With an adequate gingival biotype and gingival heights we could afford to expand the dental arches which created space for retraction

Retention

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