Class I
,
Anterior crossbite
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Rotations
,
Spacing
,
Pre-restorative

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Proclination
,
Lower incisor extraction
,
IPR
,
Restorative
,
Extraction
Courtesy of Dr T. Kapoor, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 26
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 32 + 30 + 21 = 83
  • Mandibulary: 32 + 30 + 21 = 83

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

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

  • Space was opened for restoration in area of missing upper left central incisor by proclining the upper anteriors and anterior expansion.
  • Lower incisor extraction provided space for retraction of lower anteriors and also correction of anterior crossbite and Class III incisor relation.
  • Upper incisor extrusion was done to improve smile arc and achieve an esthetic smile.
  • Long vertical conventional attachments were placed on teeth adjacent to the lower incisor extraction site to maintain root parallelism during space closure.
  • Root parallelism of teeth adjacent to upper pontic space was achieved with the help of labial and palatal attachments.

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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