Class I
,
Posterior crossbite
,
Narrow arches
,
Crowding
,
Rotations

Mesialization
,
Leveling Curve of Spee
,
Extrusion
,
Expansion
,
IPR
,
Elastics: Class III
Courtesy of Dr L. De la Torre, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 11 months

Number of aligners

  • Maxillary: 27 + 11 = 38
  • Mandibulary: 27 + 6 = 33

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • 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

  • In this case, we did an expansion asymmetric to improve the upper form arch.
  • We got a good position of posterior teeth with beautiful axial inclination.
  • We used elastics Class III for the procedure.

Images

Initial and final

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upper
lower
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front
left
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lower
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front
left

Progress

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lower
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front
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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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