Class I
,
Anterior crossbite
,
Edge to edge bite
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Mesialization
,
Leveling Curve of Spee
,
Retraction
,
First premolar extraction
,
Elastics: Class II
,
Extraction
Courtesy of Dr J. Weng, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 12
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 28 months

Number of aligners

  • Maxillary: 70 + 9 + 13 = 92
  • Mandibulary: 70 + 13 + 13 = 96

Aligner Wear time

  • 10 days'

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • 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 is an extraction case and 14/24/34/44 were extracted.
  • G6e was used to achieve moderate anchorage and retract anterior teeth effectively.
  • Molars' mesial movement is more than 2mm .
  • No miniscrews were used in this case.
  • Canine optimized root control attachments did a good job with the canine’s bodily movement.
  • Leveled curve of Spee.
  • Normal overjet and overbite relationships were achieved.

Images

Initial and final

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upper
lower
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front
left
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front
left

Progress

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

Initial Final
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