Class I
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Mandibular midline deviation
,
Crowding

Leveling Curve of Spee
,
First premolar extraction
,
Overtreatment
,
Elastics: Class II
,
Extraction
Courtesy of Dr H. Ai, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 30
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 48 months

Number of aligners

  • Maxillary: 52 + 40 + 20 = 112
  • Mandibulary: 39 + 40 + 14 = 93

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Deepbite improved
  • Overjet improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line¬†was achieved¬†
  • Harmonic arches were achieved

Comments

  • Maxillary maximum anchorage design ensures enough retraction.
  • Intrusion and labial inclination of incisors when retraction in case of anterior occlusal interference and posterior open bite.

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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lower
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front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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