Class I
,
Narrow arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Overtreatment
Courtesy of Dr T. Kapoor, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 37
  • Gender: female
  • Invisalign Submission Option: Invisalign Moderate

Total Treatment Time

  • 8 months

Number of aligners

  • Maxillary: 19
  • Mandibulary: 19

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • 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 for alignment in the upper arch was gained by proclination of the upper incisors as well as arch expansion.
  • Space in the lower arch was gained by proclination of the lower incisors and IPR in the lower anterior teeth.
  • Conventional attachment was placed on the lower incisor to help with uprighting.
  • G8 expansion support attachments were placed to help with upper and lower arch expansion.
  • Slight over treatment in rotation was built in for upper central and lateral incisors. Arch expansion helped in improving the smile esthetics by reducing the buccal corridor space.
  • Lingual root torque was added in the lower incisors to improve their alignment.

Images

Initial and final

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upper
lower
right
front
left
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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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