Class I
,
Narrow arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
IPR
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Extraction
Courtesy of Dr N. Dinh Hung An, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 20 months

Number of aligners

  • Maxillary: 34 + 20 + 18 = 72
  • Mandibulary: 34 + 20 + 18 = 72

Aligner Wear time

  • 1-week

Retention

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

Results achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • Harmonic arches were achieved

Comments

  • Maintained her initial smile line, and expanded upper premolar width to improve narrow buccal corridors.
  • Used class II elastics from U3s-L6s bilaterally for full-time to get more anchorage and control tooth movement.
  • In additional aligners, continued using class II elastics to close all space. Used V elastics U6-L6-U3 bilaterally to improve the occlusal bite. Did IPR to reduce black triangles between teeth.

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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