Class III
,
Anterior crossbite
,
Deep bite
,
Asymmetric arches
,
Rotations
,
Spacing
,
Diastema

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Retraction
,
Proclination
,
Space Closure
,
Phase II treatment
,
Overtreatment
Courtesy of Dr B. Saenghirunvattana, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 46
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 19 months

Number of aligners

  • Maxillary: 61 + 20 = 81
  • Mandibulary: 61 + 20 = 81

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • 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

  • Modify the upper arch form from square to ovoid.
  • Close all spaces in the lower arch.
  • Upright lower posterior teeth and level the lower curve of Spee prior to space closure to ensure better predictability (not address too many movements in the same tooth at the same time).
  • Use elastics to settle the posterior open bite.
  • Use fake attachment on the occlusal surface of lower posterior teeth to help upright them by intruding the distal portion.

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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