Class I
,
Deep bite
,
Crowding
,
Rotations
,
Spacing
,
Pre-restorative

Mesialization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Proclination
,
IPR
,
Space Closure
,
Restorative
,
Implants
,
Overtreatment
Courtesy of Dr. V. Laoamata, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 41
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 42 + 21 + 13 = 76
  • Mandibulary: 42 + 21 + 13 = 76

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

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

  • The lower curve of Spee can be leveled when there is space between the anterior teeth.
  • Intrusion of the lower incisors and canines should be done before consolidation of space in the lower anterior.
  • The Invisalign system controlled the root movement and effectively prepared the implant site.

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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