Class I
,
Increased overjet
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Spacing
,
Diastema

Leveling Curve of Spee
,
Extrusion
,
Expansion
,
Proclination
,
Space Closure
,
Phase I treatment / Interceptive
Courtesy of Dr H. Watabe, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 8
  • Gender: male
  • Invisalign Treatment Option: Invisalign First

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 28 + 25 + 17 = 70
  • Mandibulary: 23 + 25 + 29 = 77

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overjet
  • 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

Initial aligner set:

  • Prepare the space for the eruption of the upper right lateral incisor (1.2) and lower right canine (4.3).
  • Improve mandibular and maxillary midline right deviation, diastema, increased overjet, and 2.2 crowding.

Additional aligner sets:

  • Improve anterior crossbite of 1.2 and 4.2.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progress

Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged316
Click to compare enlarged310