Class I
,
Anterior crossbite
,
Edge to edge bite
,
Openbite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Diastema

Elastics: Class III
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Space Closure
,
Phase II treatment

Treatment information

  • Age: 46
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Anterior crossbite
  • Edge to edge bite
  • Openbite
  • Narrow arches
  • Asymmetric arches
  • Maxillary midline deviation
  • Mandibular midline deviation
  • Midline shift
  • Crowding
  • Rotations
  • Diastema

Use of:

  • Expansion
  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • Retraction
  • IPR
  • Space Closure
  • Elastics: Class III
  • Phase II treatment
  • Optimized rotation attachment (G3) on Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4)
  • Optimized extrusion attachment (G3) on Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 1.5 (UR5)
Courtesy of Dr K. Malekian 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
  • Anterior crossbite corrected
  • Normal¬† overjet and overbite achieved
  • Overjet improved
  • 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

  • 14 months

Number of aligners

  • Maxillary: 29 + 15 = 44
  • Mandibular: 28 + 15 = 43

Aligner wear time

  • Progressive Aligner Change Interval : 14 Days-10 Days- 7 Days ( Treatment Aligners ). During Refinement 7 Day Change Interval

Comments

  • Align upper and lower incisors
  • Retraction of upper central and lower incisors
  • Upper posterior molar and premolar expansion
  • Intrusion of upper premolars and molars.
  • Extrusion of upper lateral teeth: UR2/UL2: anterior teeth gingival margin leveling
  • Class III elastics: Relief edge to edge of upper central with lower central, also for the correction of the upper lateral anterior crossbite correction

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer