Case presentation

Treatment Summary Using Invisalign Teen by Dr Peter Ilori

Class I, Severe Crowding, Anterior Crossbite, Midline Shift, Partially Erupted and Rotated Maxillary Permanent Canines

Pre-Treatment ClinCheck Front
Pre-Treatment ClinCheck Front
Pre-Treatment ClinCheck Upper & Lower
Pre-Treatment ClinCheck Upper & Lower
Post-Treatment ClinCheck Front
Post-Treatment ClinCheck Front
Post-Treatment ClinCheck Upper & Lower
Post-Treatment ClinCheck Upper & Lower
Pre-Treatment Closed Bite
Pre-Treatment Closed Bite
Pre-Treatment Open Bite
Pre-Treatment Open Bite
Post-Treatment Closed Bite
Post-Treatment Closed Bite
Post-Treatment Open Bite
Post-Treatment Open Bite
Pre-Treatment Left
Pre-Treatment Left
Pre-Treatment Right
Pre-Treatment Right
Post-Treatment Left
Post-Treatment Left
Post-Treatment Right
Post-Treatment Right
Pre-Treatment Occlusal Upper
Pre-Treatment Occlusal Upper
Pre-Treatment Occlusal Lower
Pre-Treatment Occlusal Lower
Post-Treatment Occlusal Upper
Post-Treatment Occlusal Upper
Post-Treatment Occlusal Lower
Post-Treatment Occlusal Lower
Resolved by:

Expansion, Extrusion, Intrusion, Proclination, IPR, Auxillaries and Elastics

Problems:
  • Maxillary permanent canines partially erupted, impacted and rotated
  • Severe crowding of the upper and lower arches
  • Upper and lower centre lines displaced to the right
  • Gingival recession and dehiscence involving upper left central incisor and lower right central incisor
Results Achieved:
  • Resolution of severe crowding
  • Correction of anterior crossbite
  • Dis-impaction and de-rotation of upper permanent canines
  • Functional overjet and overbite achieved
  • Canine guidance achieved
  • Upper and lower centre lines corrected
  • Successful management of case without worsening of gingival defects
Total Treatment Time:
  • 21 months
Number of Aligners:
  • Maxillary: 29+15=44
  • Mandibular: 18+10=28
Comments:
  • Age at start: 12 years, 7 months
  • Age at end: 14 years, 4 months
  • Patient was treated using Invisalign Teen because they did not want fixed appliances
  • Refinement was made with new photos and new impressions
Retention:
  • Maxillary: Removable transparent retainer
  • Mandibular: Removable transparent retainer

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