Open bite
,
Class II div 1
,
Midline shift
,
Crowding

Elastics: Class II
,
Expansion
,
IPR
Courtesy of Dr. Diaz, 2012
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 28
  • Gender: F
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 23 months

Number of aligners

  • Maxillary: 15 + 13 + 7 = 35
  • Mandibulary: 13 + 11 + 7 = 31

Retention

  • Maxillary: Fixed re
  • Mandibular: Fixed retainer

Results achieved

  • Class I relationship on both sides
  • Crowding resolved
  • Normal overbite and overjet achieved – Correction of openbite
  • Midlines successfully adjusted
  • Harmonious arches achieved

Comments

  • First refinement done to further expand maxillary arch and extrudeall incisors
  • Second refinement was done by striping 0.2 mm in the mandibular arch at the incisors and canines. Class III elastics were used to get further retraction of the lower arch and thus improve the overjet.
  • This treatment teaches us that the use of a systematic alignment and intrusion of the maxillary dentition in a later phase helps us improve the closure of an anterior open bite.

Images

Initial and final

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upper
lower
right
front
left
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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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