Class I
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: vertical
Courtesy of Dr S. Chieh Lin, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 20 months

Number of aligners

  • Maxillary: 28 + 12 + 15 = 55
  • Mandibulary: 35 + 13 + 10 = 58

Aligner Wear time

  • 7 days or 10 days

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

  • This is a Class I malocclusion case with severe crowding and severe rotation of the 2.1
  • We created space for both arches with the use of IPR and to prevent potential black triangles
  • Expansion to prevent proclination
  • Vertical elastics were used on posteriors to improve interdigitation during final stage

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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