Class I
,
Increased overjet
,
Open bite
,
Narrow arches
,
Crowding
,
Rotations

Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
TADs
,
Elastics: Class II
,
Elastics: vertical
Courtesy of Dr. D. Tung Vu, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 22 months

Number of aligners

  • Maxillary: 59 + 27 = 86
  • Mandibulary: 59 + 27 = 86

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Overjet improved
  • Significant improvement ofoverbite
  • Significant improvement of overjet
  • 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

  • Our treatment plan was to open enough space to de-rotate the 1.5 90 degrees
  • To use auxiliaries for maximum efficiency
  • Taking advantage of "posterior open bite " to solve anterior open bite
  • Patient's compliance and clinical monitoring was very important
  • Retention monitoring is essential to prevent any relapse

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

Initial Final
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