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 Treatment 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

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upper
lower
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front
left
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upper
lower
right
front
left

Progress

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lower
right
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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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