Class I
,
Posterior crossbite
,
Anterior crossbite
,
Asymmetric arches
,
Mandibular midline deviation

Leveling Curve of Spee

,

Extrusion

,

Retraction

,

IPR

,

Elastics: vertical

Courtesy of Dr C. Carvalho, 2020

Treatment Summary

Patient Information

Age: 20
Gender: female
Invisalign Submission Option: Invisalign Comprehensive

Number of aligners

Mandibulary: 21

Aligner Wear time

10 days

Retention

Maxillary: Fixed/Bonded
Mandibular: Fixed/Bonded

Results achieved

Class I relationship maintained
Anterior crossbite corrected
Posterior crossbite corrected
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

I decided to do IPR to get space to correct the midline and to do a retraction
. The lower midline for left, cause the upeer was good.
I inserted elastic to imporve the movement to correct the posterior crossbite
The correction of 4.3, I used only the aligner and I got the good result.