Open bite
,
Mandibular midline deviation
,
Rotations
,
Pre-restorative

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Restorative
Courtesy of Dr G. Aparicio, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 20
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 7 months

Number of aligners

  • Maxillary: 21
  • Mandibulary: 21

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

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

  • Anterior open bite treated with posterior intrusion (upper and lower), to achieve the mandibular autorotation.
  • Canine Cl II was treated with distalization assisted with posterior IPR.
  • Posterior distalization and expansion used to assist in retraction of upper anterior teeth.
  • Improve overbite by the means of relative extrusion.
  • The anatomy of the canines was restored at the end of the treatment.
  • No additional aligners were used.

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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