Class I
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Pre-restorative

Distalization
,
Mesialization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Restorative
,
Implants
Courtesy of Dr M. Pedernera, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 47
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 28 + 25 + 14 = 67
  • Mandibulary: 28 + 25 + 14 = 67

Aligner Wear time

  • 2 weeks at the beggining of the treatment and every 1 week until the end

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • This case was challenging taking into account the amount of mm of overbite
  • The main issue was to solve the crowding of the lower teeth and creating at least 7 mm of space for the implant of 1.5
  • The treatment plan was to expand both arches
  • In the first Clincheck I requested to mesialize the 1.4 and 1.3, adding IPR to the upper left quadrant in order to obtain space for the mesialization and also to center the upper mid-line to the left
  • Because the excess of Bolton 6 in the lower arch I applied IPR to compensate this
  • During the treatment 2.8 was extracted because of premature contacts with extruded 3.8
  • Patient was advised to extract all of them, but at this time, the patient is not ready to consent

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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