Deep bite
,
Crowding
,
Rotations
,
Spacing
,
Diastema

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
Space Closure
Courtesy of Dr V. Laoamata, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 37
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 38 + 20 = 58
  • Mandibulary: 38 + 20 = 58

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

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

Comments

  • Closing median diastema can occur with relative extrusion movement.
  • Programmed intrusion during closing median diastema prevented anterior interference during treatment, especially in the anterior deep bite case.
  • The patient went abroad after the delivery of the aligner, so extending the wearing time to 10 days could ensure tracking of the aligner.
  • The virtual care feature was used for treatment monitoring when the patient couldn't visit the dental office and still achieve a good treatment outcome.

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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