Class I
,
Narrow arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Spacing

Intrusion
,
Proclination
,
IPR
Courtesy of Dr M. Pedernera, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 41
  • Gender: female
  • Invisalign Treatment Option: Lite

Total Treatment Time

  • 7 months

Number of aligners

  • Maxillary: 14 + 12 = 26
  • Mandibulary: 14 + 12 = 26

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • Expansion of both arches to improve the narrow arches.
  • In Clincheck I closed the space between 1.1 and 2.1
  • IPR was used to solve the crowding of the lower teeth
  • Important was to take bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position.
  • This reduced the number of aligners for the first stage

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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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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