Class I
,
Deep bite
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Elastics: Class II in Additional Aligners
Courtesy of Dr A. Khan Mohammed, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 20 months

Number of aligners

  • Maxillary: 36 + 33 = 69
  • Mandibulary: 39 + 17 = 56

Aligner Wear time

  • 8days

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
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • 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

Achieved the desired result by opting:

  • Expansion of upper and lower arches.
  • Extrusion of posteriors and intrusion of anteriors.
  • Creating some additional space for decrowding via IPR.
  • By using IPR overjet was also achieved to the desired angulation.
  • In the additional aligners posterior occlusion was further achieved.
  • Good smile esthetics were achieved via expansion tooth position.

Images

Initial and final

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upper
lower
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front
left
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upper
lower
right
front
left

Progress

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

Initial Final
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