Class I
,
Increased overjet
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding

Expansion
,
IPR
,
Restorative
Courtesy of Dr S. Ahn, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 46
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 12 months

Number of aligners

  • Maxillary: 34 + 25 = 59
  • Mandibulary: 34 + 25 = 59

Aligner Wear time

  • 1-week

Retention

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

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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

  • Arch expansion to make space.
  • The remaining space was gained through IPR.
  • IPR helped reduce the black triangle in adult patients.
  • Crossbite in the premolar area with asymmetrical arch expansion was also achieved.
  • Invisalign is a very effective treatment for middle-aged patients.

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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lower
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front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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