Class I
,
Increased overjet
,
Narrow arches
,
Asymmetric arches
,
Crowding

Distalization
,
Extrusion
,
Expansion
,
Retraction
,
Proclination
,
Elastics: Class II
Courtesy of Dr S. Lee, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 11 months

Number of aligners

  • Maxillary: 25 + 19 = 44
  • Mandibulary: 21 + 19 = 40

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • NormalĀ  overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • All treatment goals were achieved case

Comments

  • Due to the severe narrow and crowding arches, arch lengths are gained by 1.5mm upper and 1mm lower molar distalization.
  • Arch expansion is achieved by increasing 2mm inter-molar and 4mm inter-premolar widths.
  • 8mm overjet is corrected by anterior retraction after upper anterior de-rotation and lower proclination, and Class II elastics are used for anchorage reinforcement.
  • One additional aligner is applied for better tooth interdigitation.
  • All treatment goals, aesthetic smile, and harmonic arches are achieved.

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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