Class I
,
Open bite
,
Asymmetric arches
,
Midline shift

Extrusion
,
Expansion
,
Elastics: Class II
,
Elastics: vertical
Courtesy of Dr J. Tsai, 2023
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 8 months

Number of aligners

  • Maxillary: 26
  • Mandibulary: 26

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • 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

  • This case presented with anterior openbite with class I occlusion, low MPA.
  • Posterior occlusion maintained stability during treatment using optimised multi-plane attachments from premolar to first molar.
  • Optimized extrusion attachments were selected for upper incisors for open bite closure.
  • Total treatment time is 10 months without additional aligners.
  • Satisfactory results were achieved.

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

Initial Final
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