Class I
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Crowding

Intrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class II
Courtesy of Dr J. Andres Montoya Sierra, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 28
  • Gender: female
  • Invisalign Submission Option: Invisalign Moderate

Total Treatment Time

  • 5 months

Number of aligners

  • Maxillary: 20
  • Mandibulary: 20

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • 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

  • A perfect example of what can be achieved in the Moderate portfolio.
  • Adequate planning to expand arches and use of intermaxillary elastics to achieve a perfect bilateral class I.
  • Also the use of lingual attachments, which, given the impossibility of using optimized attachments, were of great help for the derotation of 3.5 and 4.5.
  • Although in the frontal occlusal view a marked deep bite is not observed, when viewing it from the palatal it is, and here the use of bite ramps was of great help.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged316
Click to compare enlarged310