Deep bite
,
Narrow arches
,
Asymmetric arches

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
IPR
,
Elastics: Class II
Courtesy of Dr M. Darda, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 29
  • Gender: female
  • Invisalign Submission Option: Invisalign Lite

Total Treatment Time

  • 9 months

Number of aligners

  • Maxillary: 14 + 14 = 28
  • Mandibulary: 14 + 14 = 28

Aligner Wear time

  • 10 days

Retention

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

Results achieved

  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • 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

Comments

  • 1- the treatment plan primarily focused towards correcting occlusal cant
  • 2- upper true intrusion planned with more intrusion on left side than right side
  • 3- power ridge planned on lateral incisor to correct torque with anteriors
  • 4-lower true intrusion planned with anchorage attachments on canine and premolars
  • 5- root uprighting attachment placed on 1.3 to upright 1.3
  • 6- Bite ramp planned on upper anterior to facilitate intrusion of lower anteriors
  • 7- Rotation corrected with 4.3

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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