Class I
,
Class II div 1
,
Deep bite
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding

Distalization
,
Leveling Curve of Spee
,
Elastics: vertical
Courtesy of Dr M. Huan Tsai, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 29
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 40 + 15 = 55
  • Mandibulary: 26 + 13 = 39

Aligner Wear time

  • 10-days

Retention

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

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • NormalĀ  overjet and overbite achieved
  • Deepbite improved
  • Midlines coincident
  • Curve of Spee leveled

Comments

  • Distalize upper posteriors to gain space for relieving the crowding using class II elastic to reinforce anchorage.
  • Use of vertical elastics on the right side to extrude upper canine and improve occlusal plane canting.

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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