Class I
,
Asymmetric arches
,
Pre-restorative

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

Treatment Summary

Patient Information

  • Age: 38
  • Gender: male
  • Invisalign Submission Option: Invisalign Lite

Number of aligners

  • Maxillary: 14 + 7 = 21
  • Mandibulary: 14 + 14 = 28

Aligner Wear time

  • 2-weeks

Retention

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

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • 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

  • Due to functional Interference, we were facing repeated loosening of the Implant crowns on 36 & 37.
  • Lower incisor extraction was needed to relieve crowding and to level the curve of Spee to release premature contacts in anterior Guidance.
  • Root parallelism of the lower anterior roots was achieved by careful selection of the attachments and diligent wear by the patient.
  • No movements were planned on the right side posterior segment to avoid any undesired changes.

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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