Class I
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Impacted canines

Elastics: Class II
,
Leveling Curve of Spee
,
Extrusion
,
Proclination
,
IPR
,
Elastics: Class II in Additional Aligners
Courtesy of Dr. S. Chieh Lin, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 10
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 43 + 15 = 58
  • Mandibulary: 26 + 15 = 41

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Significant improvement ofoverbite
  • 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 with severe crowding and deep bite case
  • We created space in the upper arch with the use of IPR for Bolton's discrepancy due to lower 3 -incisor condition
  • We created space in the lower arch with expansion and lower anterior teeth proclination

Images

Initial and final

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left
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Progress

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lower
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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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