Class I
,
Narrow arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Extrusion
,
Expansion
,
Proclination
,
Other extraction
,
IPR

Treatment information

  • Age: 38
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class I
  • Narrow arches
  • Mandibular midline deviation
  • Midline shift
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Extrusion
  • Proclination
  • Other extraction
  • IPR
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 4.4 (LR4)
  • Optimized extrusion attachment (G3) on Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 2.2 (UL2), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
Courtesy of D.r V. Noemi Cohen 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
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal¬† overjet and overbite achieved
  • Overjet improved
  • Midlines coincident
  • 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

  • 11 months

Number of aligners

  • Maxillary: 24 + 7 = 31
  • Mandibular: 24 + 7 = 31

Aligner wear time

  • 2-weeks

Comments

  • All treatment goals as requested in the first ClinCheck were achieved

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer