Class II div 1
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Pre-restorative

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

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 33 + 13 = 46
  • Mandibulary: 33 + 13 = 46

Aligner Wear time

  • 10 days

Retention

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

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • We decided to extract 3.8 and distalize 3.7 and 3.6, because space was needed to get a correct distalization
  • IPR was done in lower incisors to correct the lower midline to the right
  • Managed to correct and create the space for an implant and correct the midline moving the teeth forward
  •  Mesialialized the teeth 3.3, 3.4, and 3.5 and distalized 3.7 and 3.6

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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