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
Before picture of treatment

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

  • Expansion of Upper Arch ( Maxilla ) was performed.
  • Upper 4 Incisor and Canine Proclination were planned at Clincheck treatment plan in order to reduce the anterior negative overjet ( -3mm) and to help correct the upper anterior crossbite.
  • 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.
  • High Patient Collaboration was required to wear full-time aligners with Class III Elastics ( Anchorage Control for Lower Arch Sequential Distalization).
  • Optimized Rotation attachments (G3) for derotation of high angle rotation of lower premolars and lower canines.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
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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