Class I
,
Open bite
,
Crowding

Expansion
,
IPR
,
Elastics: Class II
,
Elastics: vertical
Courtesy of Dr T. Minamidate, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 14
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 39 + 32 + 9 = 80
  • Mandibulary: 16 + 32 + 9 = 57

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • NormalĀ  overjet and overbite achieved
  • Overjet improved
  • Midlines coincident

Comments

  • The patient's facial profile was already good before treatment, so premolar extraction was not performed, but the dentition was expanded laterally and aligned by IPR.
  • The maxillary midline was significantly deviated to the right, but after treatment, the maxillary midline was aligned with the facial midline by adjusting the intermaxillary elastic.
  • Since the impacted wisdom tooth made it difficult to align the second molar, extraction of the wisdom tooth is scheduled to be performed in three years.

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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