Class I
,
Anterior crossbite
,
Openbite
,
Asymmetric arches
,
Maxillary midline deviation
,
Crowding
,
Rotations

Elastics: vertical
,
Extrusion
,
Expansion
,
IPR

Treatment in the Spotlight

Dr. K. Ueda
Dr. K. Ueda

We would like to thank Dr. Ueda for this Anterior open bite case with an amazing treatment outcome that was achieved within 12 months.

Dr. Quote: “I’m honored to share this case with my peers. I believe this case shows the potential of what you can achieve with Invisalign treatment.”

Treatment information

  • Age: 34
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Diagnostic Summary

  • Class I
  • Anterior crossbite
  • Openbite
  • Asymmetric arches
  • Maxillary midline deviation
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Extrusion
  • IPR
  • Elastics: Vertical
  • Optimized rotation attachment (G3) on Buccal 3.4 (LL4)
  • Optimized extrusion attachment (G3) on Buccal 1.2 (UR2), Buccal 2.2 (UL2), Buccal 2.3 (UL3)
  • Power ridge feature (G3) on Buccal 3.1 (LL1)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 3.5 (LL5)
  • Pressure areas (G5) on Lingual 4.2 (LR2), Lingual 3.2 (LL2)
Courtesy of Dr. K. Ueda 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 maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • 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: 24 + 11 = 35
  • Mandibular: 24 + 11 = 35

Aligner wear time

  • 10 days

Comments

  • The shape of the arches was improved with expansion and IPR
  • We achieved to improve the overjet and overbite significantly
  • Vertical elastics were used in the last month of the initial treatment

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer