Pre-restorative
,
Class I
,
Anterior crossbite
,
Increased overjet
,
Narrow arches
,
Asymmetric arches
,
Crowding
,
Rotations

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

Treatment Summary

Patient Information

  • Age: 38
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 29 months

Number of aligners

  • Maxillary: 70 + 14 = 84
  • Mandibulary: 70 + 30 = 100

Aligner Wear time

  • 7~10 days

Results achieved

  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • Overjet improved
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved

Comments

  • We used the G6 First premolar extraction solution in the upper arch
  • 1.8, 2.8 and the bridge of 2.5-2.7 helped to increase the anchorage
  • Lower incisors were intruded before the intrusion of lower canines
  • Implant for tooth 4.6 after aligner treatment
  • Crowns and veneers for the upper and lower anterior, to change the color and shape of the teeth

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
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
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