Anterior crossbite
,
Open bite
,
Narrow arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations

Extrusion
,
Intrusion
,
Expansion
Courtesy of Dr R. Komolpis, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 40
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 21 months

Number of aligners

  • Maxillary: 30 + 14 = 44
  • Mandibulary: 21 + 14 = 35

Aligner Wear time

  • 2 weeks in initial set and 10 days in additional aligners

Retention

  • Maxillary: Other Clear
  • Mandibular: Other Clear

Results achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Normal overjet and overbite achieved
  • Overjet improved
  • Significant improvement ofoverbite
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile linewas achieved
  • Harmonic arches were achieved

Comments

  • Rotate upper right premolar and molar to gain spaces to achieve Class I premolar and canine relationship .
  • Expand upper arch. Intrude upper posterior teeth and have a bite jumping to close anterior open bite at the end.
  • Extrude upper canines and upper right central incisor to improve smile line.
  • Labial root torque upper right lateral incisor.

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progress

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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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