Class I
,
Posterior crossbite
,
Increased overjet
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Spacing
,
Diastema
,
Pre-restorative

Mesialization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Restorative
Courtesy of Dr T. Thanvarachorn, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 43
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 23 + 21 = 44
  • Mandibulary: 23 + 21 = 44

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Overjet 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

  • Patient presented with a scissor bite on quadrants 1 and 4.
  • Median diastema.
  • Lower midline shifted to the left.
  • Severe attrition on lower posterior segment.
  • Elastics were used to enhance correcting scissor bite.
  • Crowns on lower 6s and 7s were done at the end of treatment.

Images

Initial and final

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upper
lower
right
front
left
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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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