Class I
,
Posterior crossbite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Leveling Curve of Spee
,
Expansion
,
Proclination
,
IPR
,
Overtreatment
Courtesy of Dr H. Toros Bingol, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 19
  • Gender: male
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 11 months

Number of aligners

  • Maxillary: 21 + 14 = 35
  • Mandibulary: 21 + 14 = 35

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • 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

Comments

  • Expansion of the maxilla was done.
  • After the expansion when the first aligner was set, the midline shift was corrected.
  • Only Invisalign without any other appliance or need for elastics was used for the preparation.
  • Over correction of the posterior crossbite was planned with additional aligners.
  • Cant of the upper arch was corrected without any other appliance or miniscrews.

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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