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 Treatment 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
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Midlines coincident
  • Curve of Spee leveled

Comments

Distalize upper posteriors to gain space for relieving the crowding and using class II elastic to reinforce anchorage. Using 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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