Class III
,
Posterior crossbite
,
Anterior crossbite
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Mesialization
,
Extrusion
,
Intrusion
,
Expansion
,
IPR
Courtesy of Dr. B. Wang, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 27 + 16 = 43
  • Mandibulary: 27 + 16 = 43

Aligner Wear time

  • 1 week

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

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

Comments

  • This is a pre surgical case
  • Orthognathic surgery: Le fort I osteotomy for maxilla tipping and decanting, bilateral sagittal split ramus osteotomy for mandible setback and derotation
  • Post surgical orthodontics: optimize and stabilize maxilla and mandible position after surgery, coordinate upper and lower dental arch, IPR was carried out to correct Bolton discrepancy in the anterior region, alignment, derotation and decompensation of both upper and lower teeth, detailing the upper and lower dental occlusal relationship

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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ClinCheck information

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Smartforce features

  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.4 (LL4)
  • Power ridge feature (G3) on Buccal 2.1 (UL1), Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 3.5 (LL5)
Download ADF files:
Initial
Additional Aligners