Anterior crossbite
,
Deep bite
,
Narrow arches
,
Rotations

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
Courtesy of Dr Pham Thi Ha Xuyen, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Number of aligners

  • Maxillary: 35 + 7 = 42
  • Mandibulary: 35 + 7 = 42

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • 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

Comments

  • Intrusion lower incisors Staging: Intrusion of lower incisors first, then intrusion of lower canine.
  • Expand upper and lower, inclination 11, 21.
  • Add 5 degrees lingual root torque lower incisors first, then intrusion.
  • Extrusion of upper incisors improved smile.

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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