Class I
,
Midline shift
,
Crowding

IPR
,
Phase II treatment
Courtesy of Dr B. Saenghirunvattana, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 38
  • Gender: female
  • Invisalign Submission Option: Invisalign Lite

Total Treatment Time

  • 12 months

Number of aligners

  • Maxillary: 14 + 14 = 28
  • Mandibulary: 14 + 14 = 28

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship maintained
  • 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
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Used posterior attachments as anchorage to level the U/L incisors.
  • Leveled and aligned anterior teeth to help reduce the deep bite and gain better arch coordination.
  • Midline shift was corrected with unilateral IPR on upper left anterior teeth.

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
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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