Class I
,
Edge to edge bite
,
Narrow arches
,
Midline shift
,
Crowding
,
Rotations
,
Spacing
,
Pre-restorative

Distalization
,
Expansion
,
Retraction
,
Proclination
,
IPR
,
Veneers
Courtesy of Dr M. Pedernera, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 62
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 13 months

Number of aligners

  • Maxillary: 10 + 10 = 20
  • Mandibulary: 48 + 17 + 10 = 75

Aligner Wear time

  • 1-week

Results achieved

  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved

Comments

  • This case was very challenging for me because the patient went through a previous orthodontic treatment, and her expectations about aesthetics were very high
  • The main issue was to solve the crowding of the lower teeth, closing the space between the 3.6 and 3.7 and also very important to center the lower midline with the upper dental midline
  • My plan was to expand both arches slightly at the bicuspids level to improve the narrow arches, at the same time in the first ClinCheck I closed the space between 3.6 and 3.7.
  • To solve the crowding of the lower teeth I was obliged to perform IPR.
  • In the prosthetic stage the bridge of 1.4 and 1.5 was replaced and the one that was on 2.5 and 2.6 was replaced with a new bridge from 2.4 to 2.6.
  • Lower fixed retainer and upper and lower Vivera were placed at the retention stage.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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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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