Class I
,
Mandibular midline deviation
,
Crowding

Distalization
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
IPR
Courtesy of Dr. V. Laoamata, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 28
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 16 months

Number of aligners

  • Maxillary: 26 + 13 = 39
  • Mandibulary: 26 + 13 = 39

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • The severe crowding in the lower anterior region was corrected by gaining space with IPR, expansion, and proclination
  • We chose to not extract due to the retroclined incisors and the patient's straight facial profile
  • Invisalign treatment can successfully level and align severely crowded teeth without any tooth flaring as we see with the fixed appliance system
  • Without any elastics, the midline deviation correction and some amount of upper molar distalization were achieved by only clear aligner therapy

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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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 1.5 (UR5), Buccal 2.3 (UL3), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 2.2 (UL2), Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Lingual 1.2 (UR2), Buccal 2.1 (UL1)
  • Optimized Multi-plane (G4) on Buccal 1.2 (UR2), Buccal 1.7 (UR7), Buccal 4.6 (LR6), Buccal 3.6 (LL6)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.4 (LL4)
Download ADF files:
Initial
Additional Aligners