Open bite
,
Mandibular midline deviation
,
Midline shift

Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
IPR
,
Elastics: Class II
Courtesy of Dr L. MacKenzie, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 34
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 24 + 21 = 45
  • Mandibulary: 24 + 21 = 45

Aligner Wear time

  • 10 days, then 7 days

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Overjet improved
  • Significant improvement ofoverbite
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • Closure of the anterior open bite by intrusion of maxillary and mandibular molars
  • Correction of the lower curve of Spee by extrusion of lower premolars
  • Correction of the Class II malocclusion using Class II elastics
  • Uprighting of the lower incisors using IPR

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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