Class I
,
Deep bite
,
Narrow arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Veneers
Courtesy of Dr S. Alonso del Hoyo Cabetas, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 23
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 23 months

Number of aligners

  • Maxillary: 28 + 22 = 50
  • Mandibulary: 28 + 22 = 50

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved 

Comments

  • In this case, both upper and lower incisors have been protruded and intruded to achieve a correct overbite, a correct highlight, and to level the Spee curve.
  • Class I right has been corrected by de-rotating premolars and thus taking space to get it.
  • In the end, 12 and 22 that were small, have been rebuilt.
  • The patient made the changes every 15 days because it was very difficult for him to adapt the aligner in the incisors.

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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