Class III
,
Posterior crossbite
,
Anterior crossbite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Crowding
,
Rotations

Distalization
,
Leveling curve of Spee
,
Elastics: Class II in Additional Aligners
Courtesy of Dr J. Hagiliassis, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 30
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 61 + 22 + 22 = 105
  • Mandibulary: 61 + 22 + 22 = 105

Aligner Wear time

  • 1 week

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

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
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case

Comments

  • In order to reduce buccal corridors and gummy smile, the upper arch was expanded to correct cross bite through the upper 4s 5s 6s 7s
  • Using the tooth movement table, the upper teeth were labialy translated no more than 4-5mm with buccal root torque of 4 degrees
  • Once the upper arch was expanded, then segmented intrusion of the upper anterior six was performed along with correction of the smile cant

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
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