DG - 34: 

• Chief Complaint : “I want straight teeth so I can smile again and I do not want braces”

Examination: 

• Complete Clinical

• X-ray

• Periodontal exam

Evaluation:

• Class I molar

• Class III canine relationship

• Severe upper and lower crowding

• UR5 in crossbite

• Full upper lip

• No airway issues noted

Treatment:

• Invisalign Comprehensive Treatment

• First Clincheck 31 aligners

• Elastic buttons placed on upper 3's. Precision cuts on lower 6's. Class II elastics to retract and extrude maxillary canines

• Extractions of teeth 5, 12, 22 and 27 at time of delivery

• Refinement Clincheck to detail final movements. 9 out of 19 aligners used

• Triangle elastics were used to bring upper canines into position between Clincheck 1 and 2

• Total treatment time 13 months

• Acceleration:

  • Munchies 15 min 4/day.

  • Immediate delivery of aligners after extractions