Class I
,
Anterior crossbite
,
Narrow arches
,
Crowding
,
Rotations

Intrusion
,
Expansion
,
Retraction
,
IPR

Treatment information

  • Age: 32
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Anterior crossbite
  • Narrow arches
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Intrusion
  • Retraction
  • IPR
  • Optimized rotation attachment (G3) on Buccal 1.5 (UR5)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 2.2 (UL2), Buccal 2.4 (UL4), Buccal 4.4 (LR4), Buccal 3.5 (LL5)
  • Optimized multi-plane attachments for molars (G7+) on Buccal 4.7 (LR7)
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
Progress

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
  • 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

  • 12 months

Number of aligners

  • Maxillary: 43
  • Mandibular: 46

Aligner wear time

  • 1-week

Comments

  • During the orthodontic treatment, the maxillary and mandibular dental arches were aligned and maxillary and mandibular incisor inclinations have been improved
  • Ideal overjet was obtained at the end of treatment and overbite by intruding the anterior teeth
  • The gingival recession was improved by means of balanced functional occlusion and lingual root torque of the mandibular right central incisor

Retention

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