Narrow arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Proclination
,
IPR
Courtesy of Dr E. Rothier, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 31
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 9 months

Number of aligners

  • Maxillary: 28
  • Mandibulary: 29

Aligner Wear time

  • 1-week

Results achieved

  • Class II relationship maintained
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • Correction of crowding and rotations was performed through IPR and with minimal tooth expansion to increase future stability
  • For the same reason we decided not to move the following teeth:1.7, 1.6, 1.5, 2.6, 2.7, 3.6, 3.7, 4.6 and 4.7
  • In order to improve the canine class I relationship on the right side, we chose to perform posterior IPR, this helped to reduce treatment time and eliminate the need to use intermaxillary elastics
  • IPR on the right side was performed to keep the lower midline at position after alignment and dental projection

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial