Class I
,
Deep bite
,
Asymmetric arches
,
Crowding
,
Rotations

Distalization
,
Leveling curve of Spee
,
Intrusion
,
Retraction
,
Lower incisor extraction
,
IPR
,
Space Closure
,
Overtreatment
Courtesy of Dr S. Zhou, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 31
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 51 + 20 = 71
  • Mandibulary: 51 + 20 = 71

Aligner Wear time

  • 1 week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

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

  • Removed bridge crown and closed the gap between 32 and 41
  • Intruded lower incisors to level the curve of spee
  • Distalized upper molars and did upper anterior teeth IPR to retract maxillary anterior teeth

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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Click to compare enlarged310