Class I
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Retraction
,
First premolar extraction
,
IPR
,
Space Closure
,
Elastics: Class II
Courtesy of Dr J. Kothari, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 28
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 26 months

Number of aligners

  • Maxillary: 45
  • Mandibulary: 45

Aligner Wear time

  • 2-weeks

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • 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
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Treatment plan was to extract 1.4,2.4,3.4 and 4.4
  • Level and align the upper and lower arches
  • Retract using the G6 protocol for maximum anchorage
  • Patient wore aligners at 2 week intervals
  • Class II Elastics were used from aligner 32-42 on Both sides

Images

Initial and final

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upper
lower
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front
left
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upper
lower
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front
left

Progress

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lower
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front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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