Class I
,
Narrow arches
,
Asymmetric arches
,
Crowding
,
Rotations

Distalization
,
Leveling curve of Spee
,
Expansion
,
Other extraction
,
IPR

Treatment information

  • Age: 17
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Narrow arches
  • Asymmetric arches
  • Crowding
  • Rotations

Use of:

  • Distalization
  • Expansion
  • Leveling Curve of Spee
  • Extraction
  • IPR
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 2.4 (UL4), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 2.3 (UL3)
  • Optimized root control attachments (G4) on Buccal 2.5 (UL5), Buccal 4.3 (LR3)
  • Multi-tooth extrusion attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 3.4 (LL4)
Courtesy of Dr. T. Rong 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
  • 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

  • 15 months

Number of aligners

  • Maxillary: 29
  • Mandibular: 29

Aligner wear time

  • 2-weeks

Comments

  • We planned a small amount of retraction for the posterior teeth were designed with a small amount of retraction
  • The attachments on the anterior teeth maintained the initial facial shape
  • We expanded the arch to match the width between the canines
  • We resolved the crowding with the help of IPR which had a great result
  • Rotated teeth were corrected with the help of optimized rotation attachments
  • At the end of the treatment, the patient's facial shape was maintained and all treatment goals were achieved without the need for additional appliances or refinements.The corrective effect is satisfactory.

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear