Class I
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Midline shift
,
Crowding
,
Spacing
,
Pre-restorative

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Lower incisor extraction
,
Space Closure
,
Restorative
,
Extraction
Courtesy of Dr K. Mehta, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 30
  • Gender: female
  • Invisalign Submission Option: Invisalign Moderate

Total Treatment Time

  • 13 months

Number of aligners

  • Maxillary: 26 + 13 = 39
  • Mandibulary: 26 + 7 = 33

Aligner Wear time

  • 10

Retention

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

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
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • We used vertical attachments on the lower incisors to achieve root parallelism, Up to 4.5mm of expansion was done with optimized Expansion support attachment.
  • Significant improvement in the proclination and deep bite was 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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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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