Class I
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Crowding
,
Rotations
,
Impacted canines

Distalization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
IPR
,
Elastics: vertical
Courtesy of Dr. G. Beini, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 12
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

Total Treatment Time

  • 26 months

Number of aligners

  • Maxillary: 42 + 33 + 10 = 85
  • Mandibulary: 42 + 33 + 10 = 85

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship maintained
  • 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

  • Distalization, expansion and IPR with the Invisalign Teen treatment option make it possible to successfully treat severely crowded dentition of patients with high mandibular plane angle
  • The arch was expanded at the beginning of the treatment to relieve anterior crowding
  • During the refinement, we used IPR to help improve the Bolton discrepancy

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
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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