Class I
,
Deep bite
,
Narrow arches
,
Maxillary midline deviation
,
Crowding
,
Rotations

Leveling curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR
Courtesy of Dr. M. Pedernera, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 13 months

Number of aligners

  • Maxillary: 21 + 29 + 15 = 65
  • Mandibulary: 21 + 20 + 15 = 56

Aligner Wear time

  • 1 week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case

Comments

  • Our main focus was to resolve the crowding of the anterior teeth and expand both arches in order to increase the width of the smile and improve the narrow arches form
  • Tooth 1.2 was a challenge but we were able to correct the mesial rotation based on distal out
  • We requested a mesial root tip to help with the uprighting of the canines which was predictable and effective.

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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