Class I
,
Deep bite
,
Narrow arches
,
Maxillary midline deviation

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
Courtesy of Dr G. Aparicio, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 8 months

Number of aligners

  • Maxillary: 16
  • Mandibulary: 24

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case

Comments

  • Deep bite correction leveled by intrusion of upper and lower incisor, and extrusion of upper premolars.
  • The leveling of Curve of Spee was achieved by intrusion of lower incisors.
  • Constricted arches improved by upper and lower expansion, to improve arch form.
  • Used a combination of intrusion and retraction to close all upper anterior space. No additional aligners were used.

Images

Initial and final

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upper
lower
right
front
left
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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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