Class III
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Distalization
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Other extraction
,
Space Closure
,
Elastics: Class II
,
Elastics: Class III
,
Elastics: vertical
,
Extraction
Courtesy of Dr S. Tsai, 2021
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 27 + 29 = 56
  • Mandibulary: 35 + 17 = 52

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

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

Comments

This is a camouflage treatment for Class III malocclusion.
Only 1 first premolar was extracted for anterior crossbite and midline correction.
After closure of lower extraction space, 2 upper bone screws were inserted for upper arch retraction.
Patient wore V-elastic for occlusal settling.

Images

Initial and final

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upper
lower
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front
left
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upper
lower
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front
left

Progress

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lower
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front
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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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