Class I
,
Open bite
,
Narrow arches
,
Crowding
,
Rotations

Leveling curve of Spee
,
Expansion
,
Proclination
,
IPR
,
Veneers
Courtesy of Dr J. Iturralde, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: male
  • Invisalign Treatment Option: Invisalign Lite

Number of aligners

  • Maxillary: 14 + 11 = 25
  • Mandibulary: 14 + 11 = 25

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
  • Overjet improved
  • 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

  • Medium complexity treatment
  • The most important thing was to get good canine and protusive guides, avoiding prematurity and unwanted contacts
  • Whitening is carried out prior to veneers from 13-12-11-21-22-23
  • Refinement/dditional aligners performed to correct small details and achieve good occlusion and interproximal contacts (always very important with the veneers).

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
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
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