Open bite
,
Midline shift
,
Crowding

Distalization
,
Intrusion
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Elastics: vertical
Courtesy of Dr. T. Minamidate, 2023
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 9 months

Number of aligners

  • Maxillary: 15 + 12 = 27
  • Mandibulary: 15 + 12 = 27

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • 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

  • Since there was a difference between the maximum intercuspal relation position and the centric relation position, and the jaw position was unstable, the initial aligner was planned to increase the occlusal contact between the upper and lower teeth by arch coordination to find a stable and occlusal position.
  • After a stable jaw position was achieved with the initial aligner, detailing was performed to achieve tight occlusion with an additional aligner.

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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