Class I
,
Increased overjet
,
Openbite
,
Narrow arches
,
Crowding
,
Rotations

Elastics: Class II
,
Leveling curve of Spee
,
Elastics: vertical
,
Extrusion
,
Intrusion
,
Expansion
,
TADs

Treatment information

  • Age: 13
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Increased overjet
  • Openbite
  • Narrow arches
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • Elastics: Vertical
  • Elastics: Class II
  • TADs
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.5 (LR5), Buccal 3.3 (LL3)
  • Optimized root control attachments (G4) on Buccal 4.4 (LR4)
  • Multi-tooth extrusion attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 1.3 (UR3), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 3.4 (LL4)
  • Optimized retraction attachments (G6) on Buccal 1.6 (UR6), Buccal 2.6 (UL6)
Courtesy of Dr. D. Tung Vu 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
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • 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

  • 22 months

Number of aligners

  • Maxillary: 59 + 27 = 86
  • Mandibular: 59 + 27 = 86

Aligner wear time

  • 1-week

Comments

  • Our treatment plan was to open enough space to de-rotate the 1.5 90 degrees
  • To use auxiliaries for maximum efficiency
  • Taking advantage of "posterior open bite " to solve anterior open bite
  • Patient's compliance and clinical monitoring was very important
  • Retention monitoring is essential to prevent any relapse

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear