Class I
,
Mandibular midline deviation
,
Rotations
,
Spacing
,
Diastema
,
Pre-restorative

Leveling curve of Spee
,
Intrusion
,
Retraction
,
IPR
,
Restorative
,
Veneers
,
Elastics: Class III
Courtesy of Dr G. Thiesen, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 26
  • Gender: female
  • Invisalign Treatment Option: Invisalign Lite

Total Treatment Time

  • 7 months

Number of aligners

  • Maxillary: 14 + 13 = 27
  • Mandibulary: 14 + 13 = 27

Aligner Wear time

  • 1 week

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

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

Comments

  • Used class III elastics during night time to correct mandibular midline deviation
  • Corrected Bolton discrepancy via lower IPR and upper space opening at the lateral incisors areas
  • Leveled gingival margins in the maxillary anterior segment to improve the aesthetic outcome of the veneers planned at the end of orthodontic treatment
  • Made porcelain veneers for both maxillary lateral incisors (teeth #1.2 and # 2.2)

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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