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
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 58
  • Gender: male
  • Invisalign Treatment 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.

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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