Class I
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Elastics: vertical
Courtesy of Dr J. Chun Hao Lin, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 22 months

Number of aligners

  • Maxillary: 50 + 19 = 69
  • Mandibulary: 50 + 19 = 69

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • Harmonic arches were achieved

Comments

  • Sequential Distalization was used to create space for relief of crowding and improve protrusive teeth.
  • Expansion and IPR protocols helped to build up symmetric and coordinated archform.
  • Lower anterior intrusion to level COS.
  • Class II elastic was used to improve overjet correction and extrude lower posterior teeth.
  • Satisfied to see a big improvement in the patient's smile.

Images

Initial and final

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upper
lower
right
front
left

Progress

lower
front
left
InitialFinal
Before picture of treatment
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Radiographs

Initial
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