Class I
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Spacing
,
Diastema

Distalization
,
Mesialization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Space Closure
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr. H. Chen, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 37 + 13 + 23 = 73
  • Mandibulary: 37 + 13 + 23 = 73

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship maintained
  • 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
  • Harmonic arches were achieved

Comments

  • Deep bite improved by intrusion of upper and lower anterior teeth without TADs.
  • Significant improvement of gummy smile.
  • Curve of Spee was also flattened in the lower arch.
  • Space closure was used to correct the diastema and spacing at upper anterior teeth.

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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