Class I
,
Increased overjet
,
Openbite
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR

Treatment information

  • Age: 27
  • Gender: female
  • Invisalign Treatment Option: Invisalign Lite

Diagnostic Summary

  • Class I
  • Increased overjet
  • Openbite
  • Narrow arches
  • Maxillary midline deviation
  • Mandibular midline deviation
  • Midline shift
  • Crowding
  • Rotations

Use of:

  • Distalization
  • Expansion
  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • Retraction
  • IPR
  • Pre-restorative
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 3.3 (LL3), Buccal 3.4 (LL4)
  • Optimized extrusion attachment (G3) on Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Power ridge feature (G3)
  • Optimized multiplane (G4) on Buccal 1.7 (UR7)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 2.5 (UL5), Buccal 4.4 (LR4)
Courtesy of Dr. A. Conigliaro 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
  • 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

  • 8 months

Number of aligners

  • Maxillary: 14 + 14 = 28
  • Mandibular: 14 + 14 = 28

Aligner wear time

  • 1-week

Comments

  • Modest distalization and posterior rotations
  • The anterior open bite was closed by posterior intrusion and minimal anterior extrusion
  • The lower crowding was solved with minor IPR
  • 1.6 will be replaced with an implant

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer