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

Leveling Curve of Spee
,
Expansion
,
Retraction
,
Proclination
,
IPR
,
Elastics: Class III
,
Elastics: vertical
Courtesy of Dr M. Lama, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 38 + 14 + 24 = 76
  • Mandibulary: 38 + 14 + 24 = 76

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Deepbite improved
  • Midlines coincident
  • Curve of Spee leveled
  • Harmonic arches were achieved

Comments

  • In the initial stage, I leveled the spee curve by intruding the lower incisors.
  • Applied lingual root torque of the lower incisors to improve the inter incisor angle.
  • Class III elastics were used to improve the Molar class.
  • Vertical elastics used to help close the posterior bite.
  • Patient collaboration was essential.
  • With the additional aligners we didn't do the programmed IPR since we considered it unnecessary as the incisors were quite leveled.
  • It was necessary to improve overbite.

Images

Initial and final

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upper
lower
right
front
left
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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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