Class I
,
Edge to edge bite
,
Mandibular midline deviation
,
Midline shift
,
Spacing

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
IPR
,
Space Closure
,
Elastics: vertical
Courtesy of Dr V. Laoamata, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 30
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 16 months

Number of aligners

  • Maxillary: 27 + 24 = 51
  • Mandibulary: 19 + 24 = 43

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • 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
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Lower anterior space closure by retraction movement will cause relative extrusion, programmed intrusion movement prevents this side effect.
  • After creating the overjet, extrusion movement of upper anterior teeth was performed to increase incisal display, create a smile arc, and achieve normal overbite.

Images

Initial and final

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upper
lower
right
front
left
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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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