Posterior crossbite
,
Anterior crossbite
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Midline shift
,
Crowding
,
Rotations
,
Spacing

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR
,
Space Closure
,
Elastics: Class II
Courtesy of Dr L. Ching Fan Li, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 21 months

Number of aligners

  • Maxillary: 35 + 24 = 59
  • Mandibulary: 35 + 24 = 59

Aligner Wear time

  • intially 10-14 days, 7 days from refinement

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • The patient started wearing elastics full time during refinement this helped to correct the Class II occlusion on both sides and closed the lower space successfully.
  • I programmed some mesio-buccal molar rotation to assist the Class II correction.
  • Attachments were placed on the palatal side of the upper incisors as per patient's request.

Images

Initial and final

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upper
lower
right
front
left
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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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