Class I
,
Crowding

Distalization
,
Mesialization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
First premolar extraction
,
IPR
,
Elastics: Class II
,
Elastics: vertical
Courtesy of Dr. T. Minamidate, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 29 + 18 + 8 = 55
  • Mandibulary: 29 + 18 + 8 = 55

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

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

  • There were a few skeletal abnormalities, but the arch length discrepancy was large with severe crowding.
  • The gingival biotype was also thin, and it was determined that it would be difficult to expand the arch and align the teeth without premolar extraction. Otherwise, the risk of gingival recession would be high.
  • Regarding the molar relationship, 1.4 teeth were extracted on the left side and finished Angle Class II, while the left side was kept in Angle Class I.
  • The canine relationship achieved was Class I bilaterally.
  • The midline was matched, the smile line greatly improved, and tight occlusion was achieved throughout the whole arch.

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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