Pre-restorative
,
Class I
,
Edge to edge bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Leveling curve of Spee
,
Elastics: Class III
,
Expansion
,
Retraction
,
IPR
,
Veneers
Courtesy of Dr. G. Thiesen, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 44
  • Gender: male
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 7 months

Number of aligners

  • Maxillary: 22
  • Mandibulary: 22

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • Overjet improved
  • Midlines coincident
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • Harmonic arches were achieved

Comments

  • During the whole treatment, we used Class III elastics on the right side to help compensate mandibular asymmetry and correct the mandibular midline deviation
  • The posterior torques on premolars and molars were prescribed bilaterally to help compensate the mandibular asymmetry, to improve arch form and to improve intercuspation
  • Space for the maxillary and mandibular crowding was achieved with posterior expansion and IPR
  • Gingival margins were leveled in the maxillary anterior segment to improve the esthetic outcome of the veneers planned at the end of orthodontic treatment
  • Porcelain veneers were made for both maxillary lateral incisors (teeth #1.2 and # 2.2).

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 Final
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