Class I
,
Edge to edge bite
,
Open bite
,
Maxillary midline deviation

Extrusion
,
Retraction
,
IPR
Courtesy of Dr. C. Carvalho, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 36
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 8 months

Number of aligners

  • Maxillary: 18 + 8 = 26
  • Mandibulary: 18 + 8 = 26

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Hawley
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Midlines coincident
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case

Comments

  •  To help me with the lower anterior retraction I used Class III elastic on both sides
  • I performed a vestibularization to achieve a relative extrusion of the upper incisors
  • IPR on the upper and lower anterior Which helped with the retraction and relative extrusion
  • In addition, 0.5 mm IPR between 1.3 and 1.4 as it had a slight canine class II ratio on the right side

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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Radiographs

Initial Final
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