Class I
,
Narrow arches
,
Maxillary midline deviation
,
Crowding
,
Rotations

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

Treatment Summary

Patient Information

  • Age: 35
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 22 months

Number of aligners

  • Maxillary: 22 + 22 + 14 = 58
  • Mandibulary: 30 + 22 + 14 = 66

Aligner Wear time

  • 10 days

Retention

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

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • 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

  • Upper and lower expansion performed because the arches were very atresic and there was not enough space
  • Lower and upper IPR performed to gain space for the correct alignment and leveling
  • When we started the expansions, the buccalization of the anterior teeth started to happen
  • I had difficulty when aligning teeth 1.1 and 2.1 and at that moment I lost the alignment adaptation. At this point, we entered into refinement.

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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