Class I
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR
Courtesy of Dr J. Andres Montoya Sierra  , 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 12
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 10 months

Number of aligners

  • Maxillary: 21 + 18 = 39
  • Mandibulary: 21 + 18 = 39

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • 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

  • Correction of the deep bite was achieved by combining true intrusion with relative intrusion through proclination in both arches.
  • The use of all G5 deep bite characteristics was essential, as well as the smart force characteristics to achieve the derotation of teeth with severe rotations.
  • IPR was also used to help with crowding relief and correction of midlines.
  • This is an adolescent patient with weekly aligner changes.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
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