Class I
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Maxillary midline deviation
,
Crowding
,
Rotations

Elastics: Class II
,
Leveling Curve of Spee
,
Intrusion
,
IPR
Courtesy of Dr M. Pedernera, 2017
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 12 months

Number of aligners

  • Maxillary: 16 + 10 = 26
  • Mandibulary: 16 + 10 = 26

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Other Clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Significant improvement ofoverbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • The most challenging part of the treatment was to deal with an anterior deep bite in combination with proclination of both upper and lower incisors and on top of that with moderate crowding in both arches.
  • The rotation of lower bicuspids was a difficult movement to achieve as well.
  • The correction of the Spee curve was achieved by intruding upper and lower incisors and a very mild extrusion of upper and lower bicuspids.
  • Nevertheless the patient was well motivated and cooperation was excellent.

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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