Class I
,
Increased overjet

Intrusion
,
Expansion
,
Retraction
,
First premolar extraction
,
TADs
,
Extraction
Courtesy of Dr A. Khan Mohammed, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 23
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 20 months

Number of aligners

  • Maxillary: 41 + 17 = 58
  • Mandibulary: 35 + 17 = 52

Aligner Wear time

  • 10days

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship maintained
  • 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
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • The primary treatment goal was to address the patient's main concerns: protruding upper teeth and visible gums when smiling.
  • To achieve an ideal overjet and overbite, a plan was devised that involved the extraction of all four premolars.
  • This would be complemented by the use of mini-implants to assist in the intrusion and retraction of the 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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lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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