Class I
,
Edge to edge bite
,
Narrow arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Extrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class III
,
Elastics: vertical
Courtesy of Dr Q. Chen, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 42
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 16 months

Number of aligners

  • Maxillary: 45 + 15 = 60
  • Mandibulary: 48 + 18 = 66

Aligner Wear time

  • 1-week

Retention

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

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case

Comments

  • Invisalign is good for molar scissors bite correction and expansion.
  • The upper right second molar was palatally moved for 3mm.
  • Upper incisors were completely aligned with out any gum recession.
  • The upper and lower arches were expanded by 2mm per side at the posterior area and canine area.
  • Upper and lower midlines were both adjusted.

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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