Class I
,
Class II div 2
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding

Elastics: Class II
,
Distalization
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
Courtesy of Dr. E. Rothier, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 40
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 48 + 18 = 66
  • Mandibulary: 48 + 18 = 66

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class II relationship maintained
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Alignment of both arches through derotation
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • The patient has a class II relationship which we maintained
  • We improved the canine relationship with the help of IPR on the posterior upper right
  • We planned IPR on the posterior lower left to correct the dental midline shift
  • Intermaxillary elastics were planned but it was not necessary in this case
  • The molars were not moved for better treatment stability and anchorage control
  • Using Invisalign allows the doctor to move only the teeth that need to be moved, this provides a much faster and predictable treatment

Images

Initial and final

InitialFinal
Before picture of treatment
After picture of treatment
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upper
lower
right
front
left
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upper
lower
right
front
left

Radiographs

Initial
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