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 Treatment Option: Invisalign Full

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, correcting the smile curve which was planned.

Images

Initial and final

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upper
lower
right
front
left
lower
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 Final
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