Class I
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Leveling curve of Spee
,
Intrusion
,
Retraction
,
IPR
Courtesy of Dr E. Rothier, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 34
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 14 months

Number of aligners

  • Maxillary: 56
  • Mandibulary: 56

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • NormalĀ  overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • All treatment goals were achieved case

Comments

Patient had upper and lower dental crowding and midline deviation. Both were corrected using asymmetric IPR.
The second molars were not moved for better anchorage and stability control. There was an inclination of the occlusal plane, which was corrected with dental camouflage with extrusion of the anterior teeth on the left side and intrusion of the anterior teeth on the right side. A larger extrusion of teeth 2.1, 2.2 and 2.3 was planned, which was later corrected with an ameloplasty. Patient was happy with the treatment finished in the first sequence of aligners.

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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