Class III, Edge to edge bite, Open bite, Midline shift, Crowding, Rotations, Spacing, Pre-restorative
Distalization
, Mesialization
, Leveling Curve of Spee
, Extrusion
, Intrusion
, Retraction
, Other extraction
, IPR
, Space Closure
, Restorative
, Implants
, Veneers
, Elastics: vertical
, Extraction
Courtesy of Dr V. Laoamata,
2021
Treatment Summary
Patient Information
- Age: 58
- Gender: male
- Invisalign Submission Option: Invisalign Comprehensive
Total Treatment Time
- 28 months
Number of aligners
- Maxillary: 40 + 22 + 17 = 79
- Mandibulary: 22 + 25 + 17 = 64
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
- Overjet improved
- 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
- Aesthetic smile line was achieved
- All treatment goals were achieved case
- Harmonic arches were achieved
Comments
- This patient had a mesiodens between 1.1 and 2.1 and had previously camouflage space by porcelain fuse to metal crown on the mesiodens.
- The crown became unesthetic appearance later and this mesiodens had been planned to be extracted.
- Treatment objectives were to close all spaces except the space of missing 3.6.
- We planned an opening for implant supported crown.
- Moreover, the incisal edges of 1.1 and 2.1 were worn apparently due to the bad bite at the anterior part before orthodontic treatment, so we planned for the restoration of 1.1 and 2.1 by dental veneer after finishing the Invisalign treatment.
- All spaces were closed successfully.
- The dental veneer on 1.1 2.1 and the implant-supported crown were installed before scanning for vivera retainer.
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