Class I
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Intrusion
,
Retraction
,
First premolar extraction
,
TADs
,
Overtreatment
,
Elastics: vertical
,
Extraction
Courtesy of Dr S. Zhou, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 27 months

Number of aligners

  • Maxillary: 64 + 21 + 22 = 107
  • Mandibulary: 64 + 21 + 22 = 107

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other
  • Mandibular: Other

Results achieved

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

  • Extracted 15 25 34 44 with maximum anchorage , retract anterior teeth.
  • Aligned to solve narrow arches , improve the arch form.
  • Shifted upper midline to left by 1mm.
  • Intruded upper incisors , improve gum-smile.
  • Intruded lower incisors, level curve of Spee.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
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front
left

Progress

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lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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