Class III
,
Anterior crossbite
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Spacing
,
Diastema

Distalization

,

Leveling curve of Spee

,

Extrusion

,

Intrusion

,

Expansion

,

Retraction

,

Proclination

,

IPR

,

Space Closure

,

Phase II treatment

,

Elastics: Class III

Courtesy of Dr K. MALEKIAN, 2021

Treatment Summary

Patient Information

Age: 44
Gender: female
Invisalign Treatment Option: Invisalign Comprehensive

Number of aligners

Maxillary: 31 + 15 = 46
Mandibulary: 40 + 15 = 55

Aligner Wear time

Progressive Aligner Change Interval. / 14 Days-10 Days/ 7 Days.At Additional Aligners 7 Day Aligner Change Interval.

Retention

Maxillary: Vivera retainer
Mandibular: Vivera retainer

Results achieved

Class I relationship achieved
Class I 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
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

1.Expansion of Upper Arch ( Maxilla ) was performed.
2.Upper 4 Incisor and Canine Proclination was planned at Clincheck treatment plan in order to reduce the anterior negative overjet ( -3mm) and to help to correct the upper anterior crossbite.
3.Align Sequential Distalization protocol was performed in the lower arch in order to go from Class III Molar and Canine into Class I Molar/ Canine and to reduce anterior overjet.
4.High Patient Collaboration is requiered to wear full time aligners with Class III Elastics ( Anchorage Control for Lower Arch Sequential Distalization).
5.Optmized Rotation attachments (G3) for derotation of high angle rotation of lower premolars and lower canines.