Class I
,
Increased overjet
,
Open bite
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations

Extrusion
,
Intrusion
,
Expansion
,
IPR
,
Elastics: Class II
Courtesy of Dr R. Lie, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 39
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 12 months

Number of aligners

  • Maxillary: 40 + 10 = 50
  • Mandibulary: 40 + 10 = 50

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
  • Significant improvement of overbite
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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

  • The crowding in the upper and lower anterior segments was relieved through the staging of interproximal tooth reduction (IPR) in order to avoid unwanted tooth movements.
  • More IPR was prescribed on the upper left quadrant for correction of the upper dental midline by facilitating shifting of the upper midline towards the left.
  • Proper arch form was achieved through mild transverse expansion of the buccal segments.
  • The open bite was closed and the overbite was improved by a combination of intrusion of the upper posterior segments and extrusion of the upper incisors.
  • Light Class II elastics were worn to facilitate coordination between the upper and lower arches.

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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