Pre-restorative
,
Class I
,
Edge to edge bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Leveling curve of Spee
,
Elastics: Class III
,
Expansion
,
Retraction
,
IPR
,
Veneers

Treatment information

  • Age: 44
  • Gender: male
  • Invisalign Treatment Option: Invisalign Comprehensive

Diagnostic Summary

  • Class I
  • Edge to edge bite
  • Narrow arches
  • Asymmetric arches
  • Mandibular midline deviation
  • Crowding
  • Rotations
  • Pre-restorative

Use of:

  • Expansion
  • Leveling Curve of Spee
  • Retraction
  • IPR
  • Veneers
  • Asymmetrical use of Class III elastics at the right side
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.4 (UR4)
  • Optimized multiplane (G4) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.5 (UR5), Buccal 4.5 (LR5), Buccal 3.3 (LL3)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 2.4 (UL4), Buccal 4.4 (LR4), Buccal 3.4 (LL4)
Courtesy of Dr. G. Thiesen 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
  • Anterior crossbite corrected
  • Normal¬† overjet and overbite achieved
  • Overjet improved
  • Midlines coincident
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line¬†was achieved
  • Harmonic arches were achieved

Total treatment Time

  • 7 months

Number of aligners

  • Maxillary: 22
  • Mandibular: 22

Aligner wear time

  • 1-week

Comments

  • During the whole treatment, we used Class III elastics on the right side to help compensate mandibular asymmetry and correct the mandibular midline deviation
  • The posterior torques on premolars and molars were prescribed bilaterally to help compensate the mandibular asymmetry, to improve arch form and to improve intercuspation
  • Space for the maxillary and mandibular crowding was achieved with posterior expansion and IPR
  • Gingival margins were leveled in the maxillary anterior segment to improve the esthetic outcome of the veneers planned at the end of orthodontic treatment
  • Porcelain veneers were made for both maxillary lateral incisors (teeth #1.2 and # 2.2).

Retention

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