Class II div 1
,
Narrow arches
,
Mandibular midline deviation
,
Crowding
,
Rotations
,
Spacing

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Implants
,
Elastics: Class III
Courtesy of Dr R. Almada, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 50 + 19 = 69
  • Mandibulary: 50 + 11 = 61

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Alignment and leveling.
  • Posterior engagement in Class 1 through distalization of the upper right and left hemi-arches and Class 2 elastics on the right and left sides.
  • Flattening the curve of Spee through intrusion of the mandibular incisors and canines.
  • Mesial translation of teeth 3.1, 3.2, 3.3, and 3.4, closing the spaces between them and opening space for the dental implant in the region of tooth 3.5.

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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