Class I
,
Deepbite
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

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

Treatment information

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

Diagnostic Summary

  • Class I
  • Deepbite
  • Asymmetric arches
  • Mandibular midline deviation
  • Midline shift
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 1.5 (UR5)
  • Optimized multiplane (G4) on Buccal 1.2 (UR2)
  • Optimized root control attachments (G4) on Buccal 2.2 (UL2)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
Courtesy of Dr M. Huan Tsai 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

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • NormalĀ  overjet and overbite achieved
  • Deepbite improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 10 months

Number of aligners

  • Maxillary: 28
  • Mandibular: 28

Aligner wear time

  • 10 days

Comments

  • Occlusal plane canting in both arches was improved by differential extrusion and intrusion of selected teeth
  • The deep bite was corrected by lower anterior intrusion with the G5 SmartForce feature
  • Intrusion on the lower anterior teeth was planned to increase the canine intrusion period

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley