Class I
,
Anterior crossbite
,
Edge to edge bite
,
Open bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Diastema

Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Space Closure
,
Phase II treatment
,
Elastics: Class III
Courtesy of Dr K. Malekian, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 46
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 14 months

Number of aligners

  • Maxillary: 29 + 15 = 44
  • Mandibulary: 28 + 15 = 43

Aligner Wear time

  • Progressive Aligner Change Interval : 14 Days-10 Days- 7 Days ( Treatment Aligners ). During Refinement 7 Day Change Interval

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • Overjet improved
  • 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

  • Align upper and lower incisors
  • Retraction of upper central and lower incisors
  • Upper posterior molar and premolar expansion
  • Intrusion of upper premolars and molars.
  • Extrusion of upper lateral teeth: UR2/UL2: anterior teeth gingival margin leveling
  • Class III elastics: Relief edge to edge of upper central with lower central, also for the correction of the upper lateral anterior crossbite correction

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

Initial Final
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