Class I
,
Narrow arches
,
Crowding

Expansion
,
IPR
Courtesy of Dr. J. Roldan, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 24
  • Gender: female
  • Invisalign Submission Option: Invisalign Lite

Total Treatment Time

  • 5 months

Number of aligners

  • Maxillary: 14 + 5 = 19
  • Mandibulary: 14 + 5 = 19

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 

Comments

  • The principal tool was the CBCT for a correct diagnosis of the clinical conditions
  • This helped with the prognosis on how much protraction or retraction could be achieved for the lower incisors since the cortical bone was very close to the roots
  • The CBCT also allowed to measure correctly the distance between the crystal bone and the contact point among the central incisors, so changing the dental shape of these teeth making them less triangular allowed the papillae to fill the space giving a better aesthetic appearance of the smile

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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ClinCheck treatment plan

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Smartforce features

  • Optimized rotation attachment (G3) on Buccal 2.5 (UL5)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized multi-plane attachments for molars (G7+) on Buccal 1.7 (UR7), Buccal 2.6 (UL6), Buccal 2.7 (UL7), Buccal 4.6 (LR6)
Download ADF files:
Initial
Additional Aligners