Increased overjet
,
Open bite
,
Narrow arches
,
Asymmetric arches
,
Crowding
,
Rotations

Elastics: Class II
,
Leveling curve of Spee
,
Extrusion
,
Expansion
,
Retraction
,
IPR
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 12
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Total Treatment Time

  • 27 months

Number of aligners

  • Maxillary: 42 + 33 + 17 = 92
  • Mandibulary: 42 + 27 + 17 = 86

Aligner Wear time

  • We started with 2 weeks, while treatment progressed we adjusted the wear time from 14 days to 10, then 7 and we ended with 5 day wear time.

Results achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • 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

  • Upper incisor retraction : Reduce anterior over jet
  • Relative anterior extrusion was achieved with upper anterior retraction.
  • Canine extrusion 1.3,2.3: Optimized extrusion attachments
  • Lower canine retraction and rotation
  • IPR ClinCheck personification
  • Class II elastics full time in order to achieve class I molar and canine
  • Extrusion of upper and lower anterior incisors and canines : Optimized extrusion attachments

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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