Class I
,
Anterior crossbite
,
Mandibular midline deviation
,
Crowding
,
Rotations

Retraction
,
First premolar extraction
,
IPR
,
Space Closure
,
Elastics: Class II
Courtesy of Dr P. Nguyen, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 32 months

Number of aligners

  • Maxillary: 82 + 26 + 14 + 17 = 139
  • Mandibulary: 82 + 26 + 14 + 17 = 139

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship maintained
  • Anterior crossbite corrected
  • NormalĀ  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • I extracted 4 first premolars to resolve the severe crowding of upper and lower anterior teeth.
  • Maximum anchorage of upper and lower posterior teeth and retraction of upper and lower anterior teeth.
  • I used a different staging technique for this case. No TAD.
  • Class II elastics were used to provide anchorage for the upper arch and closing lower arch.
  • IPR for midline correction.

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

Initial Final
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