Class I
,
Increased overjet
,
Deep bite
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Spacing
,
Diastema
,
Pre-restorative

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
IPR
,
Space Closure
,
Restorative
,
TADs
Courtesy of Dr B. Lin, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 31
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 12 months

Number of aligners

  • Maxillary: 35 + 11 = 46
  • Mandibulary: 35 + 11 = 46

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

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

Comments

  • Anterior teeth and upper dental arch intrusion by 2 mm with TADs was conducted to alleviate the patient's gummy smile and deep bite. Curve of Spee was also flattened in the lower arch.
  • Upper arch distalization by 1 mm with bilateral IZC TADs to achieve solid molar and canine Class I.
  • Space redistribution of upper anterior teeth to resolve diastema and to create space for peg laterals' further restoration.
  • IPR of lower anterior teeth was performed to prevent black triangles and create space for lower incisors intrusion.
  • One set of additional aligners was applied for minor space closure after teeth 1.2 and 2.2 permanent crown cementation.
  • Due to the upper dental arch intrusion, the patient's mandible moves forward and counterclockwise rotation. It improved the patient's facial profile.
  • All treatment goals: aesthetic smile, tight interproximal contacts, and harmonious arch forms were 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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