Class I
,
Open bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Elastics: vertical
Courtesy of Dr M. Lama, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 27 + 15 + 19 = 61
  • Mandibulary: 27 + 15 + 19 = 61

Aligner Wear time

  • 1-week

Retention

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

Results achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Aesthetic smile line was achieved 

Comments

  • Optimized attachment of derotation used.
  • Expansion of both arches
  • Levelled curve of Spee.
  • Good patient collaboration throughout the treatment
  • Vertical elastics were used at the end of treatment.

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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