Narrow Arch

Photographs and X-rays

Orthodontic Summary

ClinCheck Files

Case Differences

• Accepted ClinCheck: Attachments reflect older protocol.

• Accepted ClinCheck: Custom staging speed was requested.

Case provided courtesy of Dr. Scott Berman and Dr. Edwin Lee

Diagnosis

Patient's Chief Concern
Patient was concerned about her maxillary and mandibular anterior crowding.

Diagnostic Summary

Constricted arches
Excessive overbite
Recession mandibular right central incisors
Rotated maxillary lateral incisors
Supra erupted mandibular incisors

Treatment

Treatment Summary

Expanded and proclined upper arch to resolve crowding
Broadened maxillary and mandibular arch widths
Derotated maxillary lateral incisors
Expanded and proclined mandibular arch to resolve crowding
Intruded mandibular incisors to reduce excessive overbite

Post Invisalign Treatment

Use of detailing pliers in final refinement aligners

Treatment Tip

Midcourse correction and case refinement can be a necessary component depending on the difficulty of your case. Dr. Mark Perelmuter has a very informative and useful Ask the Expert presentation titled "Taking Your Cases to the Next Level" which provides useful insight on this topic as well as the importance of monitoring your Invisalign cases. To view this presentation, click here.