Class I
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Mesialization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
First premolar extraction
,
TADs
,
Elastics: Class II
,
Elastics: Class III
,
Elastics: vertical
,
Extraction
Courtesy of Dr S. Tsai, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 24
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 16 months

Number of aligners

  • Maxillary: 40 + 31 = 71
  • Mandibulary: 40 + 22 = 62

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • 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

  • This is a case presented with Class I bimaxillary protrusion and low mandibular plane angle case.
  • Severe crowding with blocked-out #13 #43 was also noted.
  • G6 first premolar extraction protocol with maximal anchorage was applied.
  • Satisfactory results were achieved.

Images

Initial and final

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Progress

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lower
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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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