Class I
,
Anterior crossbite
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Midline shift
,
Crowding
,
Impacted canines

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Lower incisor extraction
,
IPR
,
Overtreatment
Courtesy of Dr D. Tung Vu, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 19
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 20 + 11 = 31
  • Mandibulary: 28 + 14 = 42

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • 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

  • Lower incisor extraction was the best way to correct anterior crowding, especially with class 1 molars cases.
  • It was easy to control the Bolton discrepancy by adding IPR to the upper incisors.

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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