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 Treatment 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

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged314
Click to compare enlarged308