Class I
,
Deep bite
,
Mandibular midline deviation
,
Pre-restorative

Leveling Curve of Spee
,
Intrusion
,
Proclination
,
IPR
,
Restorative
,
Veneers
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr C. Josh Liew, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 50
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 13 months

Number of aligners

  • Maxillary: 17 + 14 = 31
  • Mandibulary: 17 + 14 = 31

Aligner Wear time

  • 10~12 days

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • All treatment goals were achieved case

Comments

  • The chief concern was the wearing of her lower front teeth.
  • Treatment goal was to normalize the interincisal angle in order to prevent further deep bite recurrence.
  • Treatment plan was to intrude #33~#43 for incisal clearance by leveling Curve of Spee and correct #12~#22 inclination.
  • DSD protocol was done after the orthodontic treatment and veneers were fabricated for #33~#43.
  • New zirconia crowns were also fabricated for #16 & #26.

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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