Class I
,
Edge to edge bite
,
Openbite
,
Narrow arches

Extrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR

Treatment information

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

Diagnostic Summary

  • Class I
  • Edge to edge bite
  • Openbite
  • Narrow arches

Use of:

  • Expansion
  • Extrusion
  • Proclination
  • Retraction
  • IPR
  • Cass III
  • Optimized rotation attachment (G3) on Buccal 4.5 (LR5)
  • Optimized multiplane (G4) on Buccal 2.7 (UL7), Buccal 3.7 (LL7)
  • Optimized root control attachments (G4) on Buccal 4.4 (LR4), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • 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), Buccal 2.3 (UL3)
Courtesy of Dr. C. Carvalho 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 maintained
  • Overjet improved
  • Significant improvement of overjet
  • Arches aligned and coordinated

Total treatment Time

  • 6 months

Number of aligners

  • Maxillary: 18
  • Mandibular: 18

Aligner wear time

  • 10 days

Comments

  • The patient had an edge to edge bite mainly on the incisors
  • I performed IPR on the lowers to create enough space for retraction combined with class III elastics
  • We proclined the upper incisors with posterior expansion and alignment of the anterior teeth

Retention

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded