Class I
,
Anterior crossbite
,
Narrow arches
,
Crowding
,
Rotations

Mesialization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
IPR
Courtesy of Dr M. Pedernera, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 10 months

Number of aligners

  • Maxillary: 40 + 16 = 56
  • Mandibulary: 37 + 16 = 53

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • All treatment goals were achieved case

Comments

  • The main concern was to solve the crowding of lower and upper teeth
  • Important was to prevent the lower incisors from colliding against the upper incisors during the treatment
  • Treatment plan was to expand and a mild protrusion of both arches to improve the narrow arches
  • Due to the Mandibular excess of Bolton index IPR was performed on both arches
  • We decided to use double retainers (fixed and Vivera) to maintain the final results

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progress

Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged314
Click to compare enlarged308