Intrusion
,
Expansion
,
Proclination
,
Distilation
,
Elastics
Courtesy of Dr D. Raickovic, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: female
  • Invisalign Submission Option: Teen

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 75
  • Mandibulary: 75

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

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

Comments

  • Combination of expansion and arch development + semi-sequential distalization 50% + class II elastics 4mm 4oz with palatal attachments of upper central incisors for anchorage and "banana effect" aligner slippage from upper incisors during distalization.
  • In lower arch proclination + derotation + intrusion of lower incisors. After that intrusion + retrusion + lingual root torque of lower incisors at the same time as expansion of lower molars and premolars for lower arch development.

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
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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