Class I
,
Posterior crossbite
,
Anterior crossbite
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Pre-restorative

Leveling curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Restorative
,
Pre-surgical
,
Implants
Courtesy of Dr J. Iturralde, 2020
Before picture of treatment

Treatment Summary

Patient Information

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

Number of aligners

  • Maxillary: 30 + 15 = 45
  • Mandibulary: 30 + 15 = 45

Aligner Wear time

  • 1 week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior 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
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Very complex treatment to carry out due to the large edentulous section
  • A first phase duplicating the shape and size of 11 and 12 at the level of 21 and 22 so that the patient would wear teeth throughout the treatment
  • Subsequently, surgeries were performed
  • Once the provisional crowns were in place, the patient was scanned again for improvement with additional aligners
  • With the last aligners, a whitening treatment was performed to finally pass to the final crowns at 21 and 22 and retain with Vivera

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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