Class I
,
Increased overjet
,
Deep bite
,
Crowding

Elastics: Class II
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
First premolar extraction
,
IPR
Courtesy of Dr. D. She, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 34
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

Total Treatment Time

  • 31 months

Number of aligners

  • Maxillary: 69 + 31 = 100
  • Mandibulary: 69 + 31 = 100

Aligner Wear time

  • 7~10 days

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • We used the Class II elastics to increase the anchorage of the upper arch
  • Maxillary wisdom teeth were maintained for anchorage
  • Bite-ramps were used to prevent anterior deep bite
  • Lower 4.4 were retracted and intruded by frog pattern

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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