Class I
,
Anterior crossbite
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
Courtesy of Dr. J. Kothari, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 11 months

Number of aligners

  • Maxillary: 20
  • Mandibulary: 20

Aligner Wear time

  • 2 weeks

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • 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

Comments

  • We used SmartForce features to level and align both arches
  • To create space for the impacted canines we chose to use expansion instead of IPR
  • The lower anterior teeth were uprighted with the use of power ridges

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progress

Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged316
Click to compare enlarged310