Class I
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Impacted canines

Distalization
,
Mesialization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Other extraction
,
Overtreatment
,
Elastics: Class II in Additional Aligners
,
Extraction
Courtesy of Dr D. Tung Vu, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 16
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 23 + 34 + 17 = 74
  • Mandibulary: 23 + 34 + 17 = 74

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

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

  • This patient had crowding but a good facial profile so she did not want to change her profile.
  • Extraction of second premolars was a fast and safe way to correct crowding and maintain facial profile.
  • Patient monitoring also very important for teen patients.

Images

Initial and final

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Progress

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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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