Class III
,
Anterior crossbite
,
Edge to edge bite
,
Open bite
,
Narrow arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Mesialization
,
Extrusion
,
Expansion
,
IPR
Courtesy of Dr R. Almada, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 34
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 32 + 27 + 14 = 73
  • Mandibulary: 32 + 27 + 14 = 73

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

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

Comments

  • To correct this malocclusion, we expanded the arches,
  • Corrected the Class 3 with mesialization of the upper teeth and distalization of the lower teeth, associated with lower IPR and the use of elastics,
  • In addition to extruding the anterior upper and lower teeth, corrected the smile curve which was planned.

Images

Initial and final

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lower
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lower
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front
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Progress

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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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