Class I
,
Anterior crossbite
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
TADs
Courtesy of Dr. Z. Xu, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 24
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 16 months

Number of aligners

  • Maxillary: 60
  • Mandibulary: 60

Aligner Wear time

  • 7-10 days

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • 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

  • Moderate crowding of upper and lower dentition with upper right lateral incisor crossbite was treated using clear aligners, associated with implant anchorage
  • In this case, the crowding was resolved through molar distalization, thus alignment of upper and lower dentition was completed successfully
  • By combining implant anchorage, we have accelerated tooth movements, moving both the first premolar and the second premolar together, as well as canines and incisors

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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