Class I
,
Posterior crossbite
,
Deep bite
,
Narrow arches
,
Midline shift
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Overtreatment
Courtesy of Dr S. Shih-Hsuan Chen, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 35
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 28 months

Number of aligners

  • Maxillary: 59 + 42 = 101
  • Mandibulary: 59 + 42 = 101

Aligner Wear time

  • 7-10 days

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Significant improvement ofoverbite
  • 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

  • Crowding was resolved with expansion and IPR
  • Expansion was achieved with buccal uprighting of lingually tipped canines and posterior teeth
  • Deepbite was corrected with anterior intrusion and establishment of proper incisor inclination
  • Frog pattern staged intrusion of lower 3-3 was employed.
  • Scissor bite was corrected.

Images

Initial and final

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upper
lower
right
front
left
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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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