Class I
,
Class II div 1
,
Edge to edge bite
,
Narrow arches
,
Asymmetric arches
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class II
,
Elastics: Class III
Courtesy of Dr H. Garcia Alatorre, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 11 months

Number of aligners

  • Maxillary: 19 + 15 = 34
  • Mandibulary: 19 + 15 = 34

Aligner Wear time

  • 10 Days

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement ofoverbite
  • Significant improvement of overjet
  • 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

  • Biprotrusion and proinclination of the upper and lower incisors was theprimary factor to solve in this case.
  • The plan was to retraction and expansion over both arches, controlling anterior torque and retruding incisors to improve smile arc and Profile.
  • Midline deviation was solved.
  • We obtained an extrusion of upper incisors, for the smile arc improvement.
  • 4.7 initially had a rotation of almost 40° degrees, we made this correction with the use of aligners only.
  • Crowding was successfully solved by expansion + IPR.
  • Posterior planned torques were obtained and all objectives of the treatment were completed.
  • As we can see in the panoramic X-Ray, roots were verticalized, so theres a big improvement of IMPA and interincisal angle.
  • We obtained an improvement of patients profile (lips got retruded)
  • Assymetric CII and CIII elastics were implemented to solve CII on right side and correct Midlines.

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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