Class I
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class II in Additional Aligners
,
Elastics: vertical
Courtesy of Dr D. Aizenbud, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 38
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 36 + 35 + 17 = 88
  • Mandibulary: 36 + 35 + 17 = 88

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship maintained
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement ofoverbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • We expanded the upper and lower arch
  • Maxillary and mandibular incisors were retracted by using IPR and arch shape changes, along with incisors' lingual root torque
  • Dental crowding was alleviated by IPR and arch shape changes
  • Over jet was reduced by IPR and the use of Class II elastics
  • Deep bite was reduced by simultaneously extrusion of maxillary and mandibular molars and premolars and anterior teeth
  • Solid occlusion was achieved by vertical elastics
  • Periodontal recession was solved by lower incisors retraction and lingual root torque

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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