Radiographs

Initial Panorama

Final Panorama

Initial Lateral

Final Lateral

Summary

Results achieved

• Class I relationship maintained
• Functional canine guidance on both sides
• Posterior crossbite corrected
• Normal  overjet and overbite achieved
• Significant improvement of overjet
• Midlines coincident
• Proper axial inclination of incisors
• Arches aligned and coordinated
• Alignment of both arches through derotation
• Arch form improved
• Aesthetic smile line was achieved 
• All treatment goals were achieved case
• Harmonic arches were achieved

Comments

• Arch expansion to make space.
• The remaining space was gained through IPR.
• IPR helped reduce the black triangle in adult patients.
• Crossbite in the premolar area with asymmetrical arch expansion was also achieved.
• Invisalign is a very effective treatment for middle-aged patients.