Class I
,
Posterior crossbite
,
Open bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations

Intrusion
,
Leveling Curve of Spee
,
Expansion
,
IPR
Courtesy of Dr E. Rothier, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 38
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 14 months

Number of aligners

  • Maxillary: 23 + 20 = 43
  • Mandibulary: 25 + 20 = 45

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Vivera

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • Patient has a class I relationship with a posterior crossbite and anterior openbite.
  • The posterior crossbite was corrected using posterior dental expansion.
  • In the first set of aligners we decided to correct the anterior open bite with posterior intrusion, there was no need for TAD´s. And we did an IPR of 0.5mm between 1.1 and 2.1 to reduce the black triangle between those teeth.

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
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