Class I
,
Anterior crossbite
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Intrusion
,
Retraction
,
First premolar extraction
,
Other extraction
,
Overtreatment
,
Elastics: Class II
,
Extraction
Courtesy of Dr Q. Wang, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 30
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 29 months

Number of aligners

  • Maxillary: 63 + 59 + 38 = 160
  • Mandibulary: 63 + 59 + 18 = 140

Aligner Wear time

  • 7-10days

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • 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

  • Teeth aligned
  • Upper and lower incisors had good torque
  • Upper and lower midline is corrected
  • No offtrack during the treatment
  • We didn't use any special anchorage but Class II elastic during the treatment.
  • The patient had a straight profile after the treatment.

Images

Initial and final

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upper
lower
right
front
left
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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
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