Class I
,
Open bite
,
Narrow arches
,
Asymmetric arches
,
Crowding

Extrusion
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
IPR
Courtesy of Dr T. Pinho, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 34
  • Gender: male
  • Invisalign Submission Option: Invisalign Lite

Total Treatment Time

  • 10 months

Number of aligners

  • Maxillary: 14 + 14 = 28
  • Mandibulary: 14 + 14 = 28

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • Harmonic arches were achieved

Comments

  • Posterior sectors expansion.
  • Torque correction mainly at the upper canines.
  • Dental and smile aesthetics improved significantly, due to the crowns and gingival zeniths leveling, as well as a decreased gingival exposure of the lateral/posterior sectors on the right side.
  • Harmonious smile, with a significant improvement of buccal corridors, that appear narrower due to the expansion of premolar and upper molar sectors, as well as the torque correction essentially at the superior canines level.
  • IPR to help solve the lower incisors crowding.
  • Anterior extrusion, to help correct the protrusive guide and smile improvement.
  • Considered the occlusal plane cant tipping down and to the right, the extrusion of the lateral and central upper right incisors.
  • In addition to the inverted smile line, these teeth were in a higher plane without gingival exposure
  • Digital Smile Diagnosis in order to minimize and avoid possible failures, considering the small margin of error with this treatment plan.

Images

Initial and final

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

Progress

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 Final
Click to compare enlarged314
Click to compare enlarged308