Class I
,
Crowding
,
Rotations

Leveling curve of Spee
,
Extrusion
,
Expansion
,
IPR
,
Elastics: vertical
Courtesy of Dr S. Shih-Hsuan Chen, 2019
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 30 + 34 = 64
  • Mandibulary: 44 + 31 = 75

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • 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

  • Crowding was resolved by proper arch expansion and IPR.
  • Mesial impact on 3.5 was successfully uprighted and extruded with optimized deepbite/extrusion attachment and the aid of vertical elastics
  • 3.2 derotation was achieved with pre-spacing before rotation started

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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