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

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Other extraction
,
IPR
Courtesy of Dr T. YA, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 22 + 12 + 8 = 42
  • Mandibulary: 21 + 12 + 23 = 56

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • 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
  • Harmonic arches were achieved

Comments

  • Spacing on the upper and lower arches was provided by IPR and expansion . The anterior teeth were aligned to improve the protrusion and midline. The overbite and overjet were adjusted to the normal overbite and overjet.
  • The maxillary and mandibular anterior teeth were intruded while the maxillary and mandibular anterior teeth were aligned, which shortened the number of treatment steps and improved the treatment efficiency.
  • The extrusion of the 22 teeth was successfully achieved by attaching button to the lip side of tooth 22 , making a precision cut on the palatal side, and using 1/8, 3.5 Oz elastics for traction. In cases where the lateral incisors need to be extruded, it can be successfully achieved with the proper use of clinical procedures.

Images

Initial and final

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upper
lower
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front
left
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lower
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front
left

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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