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

Retraction
,
IPR
,
Elastics: Class III
Courtesy of Dr G. Thiesen, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 61
  • Gender: female
  • Invisalign Submission Option: Invisalign Lite

Total Treatment Time

  • 8 months

Number of aligners

  • Maxillary: 14 + 14 = 28
  • Mandibulary: 14 + 14 = 28

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
  • Normal  overjet and overbite achieved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case

Comments

  • During the orthodontic treatment, the maxillary and mandibular dental arches were aligned and coordinated.
  • Maxillary and mandibular incisor inclinations were improved.
  • Classe III elastics were used on the right side all over treatment.
  • Lower IPR was performed in order to help the correction of the anterior crossbite. This was done mainly on the right side, so the midline deviation could be improved.
  • Overjet correction was achieved at the end of treatment.
  • For correction of the reverse smile curve, leveling of the upper Curve of Spee was performed.

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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