Class II div 1
,
Increased overjet
,
Narrow arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Restorative
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Implants
Courtesy of Dr R. Loyer, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 69
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 9 months

Number of aligners

  • Maxillary: 19
  • Mandibulary: 19

Aligner Wear time

  • 2-weeks

Results achieved

  • Class I relationship maintained
  • Class II relationship maintained
  • Normal overjet and overbite achieved
  • Significant improvement of overjet
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • This patient was formerly treated for her bruxism with the diagnosis of Cervico-Cranio-Mandibular Disorder
  • The final position of her mandibular bone was stable
  • We did expansion and bimaxillary arch correction
  • We created more lingual torque to superior incisors, vestibular torque to inferior incisors, intruded inferior incisors to improve the curve of Spee
  • We improved the superior and inferior canine interrelationship in order to reconstruct canine cusps in a later stage to obtain canine guidance
  • Our goal was to smoothen the sulcus of the inferior lip and chin and to close the nasal-labial angle to improve the patient's profile.
  • We wanted to obtain a right-side Class I dental relationship, but the patient was satisfied and didn't want to continue with Additional Aligners
  • She decided that for her age and condition, the initial treatment including the posterior canine cusp reconstruction was really good. The treatment surpassed her initial expectations

Images

Initial and final

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upper
lower
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front
left
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upper
lower
right
front
left

Progress

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lower
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front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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