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 Treatment 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

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progress

Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged316
Click to compare enlarged310