Class III
,
Anterior crossbite
,
Edge to edge bite
,
Asymmetric arches
,
Mandibular midline deviation

Distalization
,
Extrusion
,
Expansion
,
Retraction
,
TADs
Courtesy of Dr C. Carvalho, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 29
  • Gender: male
  • Invisalign Treatment Option: Invisalign Comprehensive

Number of aligners

  • Maxillary: 38
  • Mandibulary: 38

Aligner Wear time

  • 10 days

Retention

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

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Overjet improved
  • 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 line¬†was achieved¬†
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Performed lower distalization on the right side
  • Added Tad to help anchor
  • Performed sequential distalization and lower anterior retraction
  • Started the upper anterior extrusion (after correcting the overjet)

Images

Initial and final

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upper
lower
right
front
left
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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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