Class I
,
Mandibular midline deviation
,
Midline shift
,
Spacing
,
Diastema

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Retraction
,
IPR
,
Space Closure
,
Restorative
,
Overtreatment
Courtesy of Dr. W. Chang, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 53
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 10 months

Number of aligners

  • Maxillary: 19 + 16 = 35
  • Mandibulary: 19 + 16 = 35

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • 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

  • The anterior teeth were intruded, and the posterior teeth were extruded to decrease the OB.
  • Meanwhile, the anterior teeth were retracted to close the spaces.
  • IPR was performed between the upper anterior teeth to solve the Bolton discrepancy.
  • Also performed 0.3 mm of false IPR between 3.5/3.6 to solve the problem of loose contact points.
  • Permanent fixation of 1.1/2.1 and lower 3-3 were used for retention.
  • Composite resin fillings were placed to decrease the black triangles between the upper incisors.

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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