Class I
,
Deep bite
,
Mandibular midline deviation
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
Courtesy of Dr. J. A. M. Sierra, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 28
  • Gender: female
  • Invisalign Submission Option: Invisalign Lite

Total Treatment Time

  • 5 months

Number of aligners

  • Maxillary: 14
  • Mandibulary: 14

Aligner Wear time

  • 10 Days

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Significant improvement ofoverbite
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • The most interesting thing about this case is the presence of the deciduous tooth 8.3
  • A second ClinCheck File was made that incorporated the extraction of 8.3 and the closure of the residual space
  • The result that was observed and was not satisfactory
  • That is why we opted for the option of maintaining 8.3 and leaving a distal space, so that in the future, if the patient wants or when the deciduous tooth is lost, a dental implant replacement 4.3 can be made
  • So the analysis of the Clincheck Pro tool was essential for the achievement of the result
  • The upper arch was lowered on the right side and was leveled with intrusion
  • A beautiful smile was achieved
  • We aligned the teeth, corrected the deep bite and midline, distal space at 8.3 as defined in the ClinCheck, bilateral class I relationships and arch expansion

Images

Initial and final

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

Initial Final
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