Class I
,
Edge to edge bite
,
Crowding

Leveling curve of Spee
,
Intrusion
,
Retraction
,
First premolar extraction
,
IPR
,
Overtreatment
,
Elastics: Class II
Courtesy of Dr B. Wang, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 24
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 19 months

Number of aligners

  • Maxillary: 39 + 13 + 18 = 70
  • Mandibulary: 39 + 13 + 18 = 70

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Use of moderate anchorage design for the extraction sites to address maxillary and mandibular protrusion
  • Mild crowding, as well as upper and lower denture protrusion
  • Use of Class II intermaxillary elastics to help control anchorage;
  • Use IPR to help correct Bolton discrepancy
  • Control the lingual movements for the roots of upper and lower anterior teeth during retraction to help prevent gingival recession

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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