Class I
,
Edge to edge bite
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Rotations

Intrusion
,
Expansion
,
IPR
Courtesy of Dr Y. Nien Shan, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Submission Option: Invisalign Moderate

Total Treatment Time

  • 12 months

Number of aligners

  • Maxillary: 19 + 21 = 40
  • Mandibulary: 19 + 25 = 44

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship maintained
  • 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

Comments

  • Expansion and IPR were used to relieve crowding and rotation.
  • A power chain and button stabilized #12 rotation and elastics were used in combination to adjust the dental midline.
  • This patient's treatment was very smooth and comfortable.

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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