Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Midline shift

Intrusion
,
Retraction
,
First premolar extraction
,
Space Closure
,
TADs
,
Elastics: Class II in Additional Aligners
Courtesy of Dr M. Makino, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 35
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 28 months

Number of aligners

  • Maxillary: 78 + 36 + 13 = 127
  • Mandibulary: 78 + 36 + 13 = 127

Aligner Wear time

  • 1-week

Retention

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

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Midlines coincident
  • Aesthetic smile line was achieved 

Comments

  • Cephalometric superposition confirmed 3.0 mm of vertical intrusion of the maxillary anterior teeth.
  • TADs placed in maxillary alveolar gingiva were effective for controlling vertical intrusion of the maxillary anterior teeth in an adult case of deep bite with extraction.

Images

Initial and final

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front
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Progress

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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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