Increased overjet
,
Deep bite
,
Midline shift
,
Crowding

Leveling curve of Spee
,
Intrusion
,
Expansion
,
IPR
Courtesy of Dr M. Soler, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 23
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 8 months

Number of aligners

  • Maxillary: 33
  • Mandibulary: 33

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • 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

The results to solve the case were achieved through the following strategies:
- IPR
- Expansion of the dental arches, correctly coordinated with each other
- Extrusion of premolars and intrusion of incisors
- Bite lifting through bite ramps in the upper incisors by palatine, to facilitate movements.
- Third molars were not included in the treatment
- Excellent collaboration of the patient in the use of the 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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