Intrusion
,
Expansion
,
IPR
,
Space Closure
,
Distilation
,
Elastics
,
Extraction
Courtesy of Dr M. Paschali, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 17
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 20 months

Number of aligners

  • Maxillary: 41 + 29 + 16 = 86
  • Mandibulary: 41 + 29 + 16 = 86

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Fixed/Blonded
  • Mandibular: Fixed/Blonded

Results achieved

  • Arches aligned and coordinated
  • Class I relationship achieved
  • Functional overjet and overbite

Comments

  • Having rejected the option of orthognathic surgery or fixed orthodontic appliances, the patient was treated with the extractions of the mandibular first premolar and the maxillary right third molar and Invisalign aligners.
  • In the upper arch, space was created via expansion and unilateral distalisation in the upper right side.
  • In the lower arch power arms features were used on the teeth adjacent to the extraction sites, in order to achieve bodily movement and avoid tipping.
  • Class II elastics were used part-time on the right side for anchorage during distalisation.
  • After 41 aligners, a refinement set was made to correct molar root torque and correct root tipping in the extraction site.
  • A short 2nd refinement was made to detail the occlusion and smile aesthetics.

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
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