Class I
,
Anterior crossbite
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Crowding
,
Rotations

Distalization
,
Expansion
,
IPR
Courtesy of Dr C. Capan, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 28
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Number of aligners

  • Maxillary: 22 + 7 = 29
  • Mandibulary: 29 + 3 = 32

Aligner Wear time

  • 10 days

Retention

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

Results achieved

  • Class I relationship maintained
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved 

Comments

  • All 8s extracted before invisalign treatment
  • Crowding was solved with expansion of upper and lower jaw. Space was created for 1.2 and upper midline was corrected with the expansion of maxilla.
  • Empty vertical rectangular attachments were placed on 4.6 and 3.6's occlusal surface to open the bite and solve the crossbite of 1.2
  • To reduce the amount of IPR and correct midline on lower jaw, 1mm distalization was performed on lower right segment (without using any intra-oral elastics)
  • At the end of the treatment teeth whitening, laser gingivectomy on 2.2 and 1.2 and removal of mamelons (1.2, 1.1, 2.1, 2.2) were performed..
  • This is an interesting case to show that we can plan more conservative treatment plans for our patients; using small amount of distalization instead of heavy IPRs

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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