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

Leveling curve of Spee
,
Extrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR
,
Elastics: Class II
Courtesy of Dr. K. Malekian, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 28 + 20 = 48
  • Mandibulary: 28 + 20 = 48

Aligner Wear time

  • Progressive Aligner Change: 14 Days- 10 Days- 7 Days.

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
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Deepbite improved
  • 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

  • Posterior teeth expansion: upper and lower arch: molars and premolars
  • Space achievement for upper anterior incisor alignment
  • Lingual root torque: upper and lower molars, premolars, canines
  • Lingual root torque of upper central teeth
  • IPR upper arch: 0.2mm at ur2, ur1, ul1, ul2
  • IPR lower arch: 0.2mm at ll5, ll4, ll3, ll2, ll1, lr1, lr2, lr3, lr4, lr5
  • Retraction of the lower right central tooth in order to relief the edge-edge with the upper right central tooth
  • Tipping root distally of upper lateral teeth
  • Crossbite correction of upper second left premolar: expansion & simultaneous lingual root torque of ul5
  • Class II elastics during the treatment time and at additional aligners
  • Extrusion of upper & lower incisors and canines: multi-tooth extrusion attachments (G4)
  • Overcorrection of upper laterals & canines extrusion

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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