Class I
,
Mandibular retrognathia
,
Narrow arches
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Expansion
,
Retraction
,
First premolar extraction
,
Other extraction
,
IPR
,
Space Closure
Courtesy of Dr. R. Lie, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 16
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 16 months

Number of aligners

  • Maxillary: 35 + 21 + 14 = 70
  • Mandibulary: 35 + 21 + 14 = 70

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship achieved
  • Class II relationship maintained
  • Functional canine guidance on both sides
  • 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

  • Relief of crowding in both upper and lower arch and correction of the upper dental midline was achieved through extraction of first premolars on the right side
  • The upper left lateral incisor was removed due to severe palatal displacement
  • G6 First Premolar Extraction Solution was incorporated into the Clincheck Plan for maximum anchorage space closure
  • Light Class II elastics were used for arch and midline coordination during space closure
  • IPR was used to adjust any Bolton discrepancy
  • Upon completion of the orthodontic treatment, the crown of the upper left canine was modified with composite in order to mimic the shape of the contralateral incisor

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

Progress

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upper
lower
right
front
left

Radiographs

Initial Final
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