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

Elastics: Class II
,
Leveling curve of Spee
,
Extrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR

Treatment information

  • Age: 25
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

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

Use of:

  • Expansion
  • Extrusion
  • Leveling Curve of Spee
  • Proclination
  • Retraction
  • IPR
  • Elastics: Class II
  • Class II Elastics in Additional Aligners
  • Optimized rotation attachment (G3) on Buccal 4.3 (LR3), Buccal 3.3 (LL3)
  • Optimized root control attachments (G4) on Buccal 4.5 (LR5), 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), Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 4.3 (LR3), Buccal 3.1 (LL1), Buccal 3.2 (LL2), Buccal 3.3 (LL3)
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
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • 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

  • 15 months

Number of aligners

  • Maxillary: 28 + 20 = 48
  • Mandibular: 28 + 20 = 48

Aligner wear time

  • Progressive Aligner Change: 14 Days- 10 Days- 7 Days.

Comments

  • Posterior teeth expansion: upper and lower arch: molars and premolars
  • Space achievement for upper anterior incisor alignment
  • Lingual root torque: upper and lower molars, premolars, canines
  • Lingual root torque of upper central teeth
  • IPR upper arch: 0.2mm at ur2, ur1, ul1, ul2
  • IPR lower arch: 0.2mm at ll5, ll4, ll3, ll2, ll1, lr1, lr2, lr3, lr4, lr5
  • Retraction of the lower right central tooth in order to relief the edge-edge with the upper right central tooth
  • Tipping root distally of upper lateral teeth
  • Crossbite correction of upper second left premolar: expansion & simultaneous lingual root torque of ul5
  • Class II elastics during the treatment time and at additional aligners
  • Extrusion of upper & lower incisors and canines: multi-tooth extrusion attachments (G4)
  • Overcorrection of upper laterals & canines extrusion

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer