Class I
,
Anterior crossbite
,
Deep bite
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations

Elastics: vertical
,
Leveling curve of Spee
,
Intrusion
,
Retraction
,
Overtreatment
Courtesy of Dr X. Liu, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 14
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Total Treatment Time

  • 30 months

Number of aligners

  • Maxillary: 51 + 28 + 14 = 93
  • Mandibulary: 51 + 28 + 14 = 93

Aligner Wear time

  • 10 days

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • First premolar extraction solution for maximum anchorage(G6) to maintain Class I relationship and retract anterior teeth
  • Smart stage used for level curve of Spee
  • Power ridge used to control inclination of upper incisors
  • Wear aligner with chewy to correct anterior crossbite

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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