Class I
,
Anterior crossbite
,
Edge to edge bite
,
Narrow arches
,
Posterior crossbite
,
Asymmetric arches
,
Spacing
,
Diastema

Phase I treatment / Interceptive
,
Elastics: Class III
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
Space Closure

Treatment information

  • Age: 8
  • Gender: male
  • Invisalign Treatment Option: Invisalign First

Diagnostic Summary

  • Class I
  • Anterior crossbite
  • Edge to edge bite
  • Narrow arches
  • Posterior crossbite
  • Asymmetric arches
  • Spacing
  • Diastema

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • Retraction
  • Space Closure
  • Elastics: Class III
  • Phase I treatment / Interceptive
  • Optimized rotation attachment (G3) on Buccal 4.3 (LR3), Buccal 2.e (ULe)
  • Optimized extrusion attachment (G3) on Buccal 4.2 (LR2), Buccal 1.c (URc), Buccal 2.c (ULc)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 2.1 (UL1), Buccal 3.2 (LL2)
  • Optimized multiplane (G4) on Buccal 3.6 (LL6)
  • Pressure areas (G5) on Lingual 3.2 (LL2), Lingual 3.3 (LL3)
  • Conventional bite ramp on Lingual 4.1 (LR1), Lingual 3.1 (LL1)
  • Optimized expansion support attachment (Phase 1) on Buccal 4.6 (LR6), Buccal 1.d (URd), Buccal 1.e (URe), Buccal 4.d (LRd), Buccal 4.e (LRe), Buccal 3.d (LLd), Buccal 3.e (LLe)
Courtesy of Dr. K. Malekian 2019

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final of Phase I
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 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

  • 8 months

Number of aligners

  • Maxillary: 28
  • Mandibular: 28

Aligner wear time

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

Comments

  • Sequential expansion of upper and lower 1st molars followed by expansion of primary molars and canines: dental crossbite of primary canines corrected (53 and 63)
  • Retraction of lower central teeth: LR1 and LL1
  • Proclination of upper central teeth: UR1 and UL1 : anterior dental crossbite corrected
  • Proclination of upper primary lateral teeth: 52 and 62: anterior dental crossbite corrected
  • Significant improve overjet and overbite
  • ClinCheck Pro features: 0.8mm space was created at mesial and distal of lower primary canines for the future permanent canines: LL3 and LR3
  • ClinCheck Pro features: 1.4mm space was created at mesial and distal of upper primary canines for the future permanent canines: UR3 and UL3

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer