Class I
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Midline shift
,
Crowding
,
Rotations
,
Spacing

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Space Closure
,
Restorative
,
Phase II treatment
Courtesy of Dr H. Garcia Alatorre, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 8 months

Number of aligners

  • Maxillary: 18 + 13 = 31
  • Mandibulary: 13 + 13 = 26

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Midlines coincident
  • 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

  • Treatment planning was leveling curve of Spee, intruding lower incisors and extruding premolars.
  • Also a great smile arc was achieved, by giving a curve over upper incisors and 4mm expansion on the upper arch and a verticalization of lower molars and premolars.
  • Buccal corridors were almost eliminated. All spaces were closed and oclussion was improved.
  • A good interdigitation was achieved.
  • Midlines were corrected, and the heights of the upper incisors were leveled.
  • A little distalization of the upper arch was planned to get a better CI molar and canine relation.

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
Click to compare enlarged318
Click to compare enlarged312