Class III
,
Anterior crossbite
,
Edge to edge bite
,
Open bite
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Spacing

Extrusion
,
Distalization
,
Leveling curve of Spee
,
Retraction
,
IPR
,
Space Closure
Courtesy of Dr E. Rothier, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 64
  • Gender: male
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 11 months

Number of aligners

  • Maxillary: 44
  • Mandibulary: 44

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Although tooth 4.6 is an implant, we decided to avoid movement in some other teeth: 4.7, 3.7, 3.6, 3.5, 3.4, 3.3, 1.6, 1.7, 2.4, 2.5, 2.6 and 2.7.
  • The 4.6 implant was used as an anchorage for the retraction of the right and lower anterior teeth.
  • The anterior midline deviation was corrected using asymmetric interproximal reduction keeping the upper midline in position and moving the lower midline right, so we avoided the use of interproximal elastics in this case.
  • The lower anterior interproximal reduction was used to remove heavy anterior contact points and correct the edge to edge bite.
  • Despite having a diastema between some tooth (4.6 and 4.5 // 4.5 and 4.4 // 4.4 and 4.3) we requested an 0.3 mm IPR.
  • The goal was to reach an overcorrection to close the diastema, and ensure a stronger point of contact.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial
Click to compare enlarged296