Class I
,
Anterior crossbite
,
Deep bite
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Mesialization
,
Intrusion
,
Retraction
,
Proclination
,
Other extraction
,
IPR
,
Space Closure
,
TADs
Courtesy of Dr. H. Kim Chuan, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: male
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 42 months

Number of aligners

  • Maxillary: 42 + 21 + 18 = 81
  • Mandibulary: 42 + 21 + 18 = 81

Aligner Wear time

  • 2 weeks for 1st set and 1st refinement set, and 1 week for 2nd refinement set

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement ofoverbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • Harmonic arches were achieved

Comments

  • Assymetry extraction of upper 15 and 24 to correct upper dental midline
  • Lower extraction of 34 and 44
  • Distalisation of upper and lower anteriors to correct crowding and reduce lip procumbancy
  • Intrusion of lower anteriors to have a flat plane
  • Intrusion of upper anterior to correct the gummy smile
  • Bodily movement of upper and lower incisor to centralize the midline
  • Bodily translation of teeth to achieve space closure with root parallellism
  • Rotational correction of 23
  • Expand the arch to achieve symmetrical arch form

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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