Class I
,
Anterior crossbite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Expansion
Courtesy of Dr J. Fauri, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 45
  • Gender: female
  • Invisalign Submission Option: Invisalign Lite

Total Treatment Time

  • 12 months

Number of aligners

  • Maxillary: 14 + 14 = 28
  • Mandibulary: 14 + 14 = 28

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • 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 
  • Harmonic arches were achieved

Comments

  • The improvement of the alignment of the teeth was achieved basically due to the expansion, proclination, and derotation of the affected teeth.
  • Patient used the aligners for at least 2 weeks, sometimes 20 days of each pair of aligners.
  • No IPR was performed and tried as much as I could to keep the anchorage provided of the good occlusion of the posterior sectors of both sides.
  • Curve of Spee leveled

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

Intial Final
Click to compare enlarged314
Click to compare enlarged310