Open bite
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation

Extrusion
,
Intrusion
,
Retraction
,
IPR
Courtesy of Dr D. Rajendra, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 19
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 9 months

Number of aligners

  • Maxillary: 33
  • Mandibulary: 20

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • MOLAR INTRUSION - to allow auto-rotation of the mandible further aiding in closing the Openbite (shown as a bite-correction jump).
  • Slight palatal movement with Buccal root torque on upper second molars to intrude the ‘hanging’ palatal cusps.
  • Extrusion of lower incisors with optimized multiunit extrusive attachments.
  • Extrusion of lower premolars and Intrusion of right upper premolars.
  • Minimal IPR on right incisors and canine to correct the midline.
  • Final overjet of 2mm and overbite of more than 2mm (overcorrection).

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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