Class II div 1
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift

Distalization
,
Mesialization
,
Leveling Curve of Spee
,
Expansion
,
Proclination
,
IPR
,
Restorative
Courtesy of Dr C. Carvalho, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 44
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 11 months

Number of aligners

  • Maxillary: 19 + 14 = 33
  • Mandibulary: 19 + 14 = 33

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
  • Overjet improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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

  • To solve the patient's problem, I worked with the previous IPR to correct the lower midline and create more space in the 4.5 region.
  • In addition, I distalized teeth 4.6 and 4.7 to create more space and verticalize tooth 4.6.
  • In the upper arch, I performed the alignment and leveling, with IPR between 1.1 and 2.1 to end the black space

Images

Initial and final

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upper
lower
right
front
left
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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