Class I
,
Increased overjet
,
Narrow arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding

Distalization
,
Intrusion
,
Expansion
,
IPR
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Elastics: vertical
Courtesy of Dr S. Tsai, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: male
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 24 + 21 + 14 = 59
  • Mandibulary: 24 + 21 + 14 = 59

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

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

  • Space was created from arch expansion for upper anterior retraction.
  • Bilateral Class I canine/molar relationships were maintained by the usage of Class II elastics.
  • Proclined upper incisors were successfully retracted and arch form coordinated.

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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