Deep bite
,
Narrow arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Expansion
,
Proclination
,
IPR
Courtesy of Dr C. Carvalho, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 29
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 31 + 11 = 42
  • Mandibulary: 28 + 18 = 46

Aligner Wear time

  • 10 days

Retention

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

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Deepbite improved
  • Significant improvement of¬†overbite
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Harmonic arches were achieved

Comments

  • We performed upper and lower arch expansion and lower incisor projection with IPR for space creation and midline correction.
  • We achieved, through relative intrusion, the improvement of the overbite.
  • We used power ridges to obtain torque on 1.1 and 2.1

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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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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