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

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Veneers
Courtesy of Dr M. Pedernera, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 35
  • Gender: male
  • Invisalign Treatment Option: Invisalign Lite

Total Treatment Time

  • 7 months

Number of aligners

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

Aligner Wear time

  • Every 2 weeks in the firts set of aligners and every week in the additional aligners stage

Results achieved

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

Comments

  • The chief concern was the crowded anterior teeth, the lack of leveling of the incisal edges and the narrow arches
  • The patient was aware that the front teeth were aesthetically not acceptable and needed work at the end of the orthdontic treatment
  • Treatment plan was to expand slightly both arches to improve the narrow arches
  • Solve the lower incisors crowding through proclination
  • Asymmetric IPR was planned in order to center the midlines
  • After the orthodontic treatment DSD protocol was done and veneers from upper right to upper left bicuspid were designed and bonded
  • The space for an implant in 2.4 was maintained and placed in the last 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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