Class I
,
Open bite

Extrusion
,
Retraction
,
Proclination
,
IPR
,
Elastics: Class II
Courtesy of Dr C. Carvalho, 2023
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 12 months

Number of aligners

  • Maxillary: 27 + 9 = 36
  • Mandibulary: 24 + 9 = 33

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship maintained
  • Normal  overjet and overbite achieved
  • Significant improvement of overjet
  • Alignment of both arches through derotation
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • The patient had a proclination of the upper incisors and an open bite. We performed previous IPRs to create space and perform relative extrusion.
  • To enhance the relative extrusion, we used class II elastics on the right and left sides.
  • In the lower arch, we used IPR to dissipate lower anterior crowding.

Images

Initial and final

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upper
lower
right
front
left
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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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