Class I
,
Class III
,
Posterior crossbite
,
Anterior crossbite
,
Edge to edge bite
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Impacted canines

Leveling Curve of Spee
,
Expansion
,
Elastics: Class III
Courtesy of Dr F. Wang, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 36
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 19 months

Number of aligners

  • Maxillary: 24 + 16 = 40
  • Mandibulary: 46

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • 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

  • The patient is very serious with skeletal crossbite and partial jaw. It is suggested that the patient should have integrated surgery, but the patient refused.
  • We have achieved very satisfactory results in only two years with Invisalign. Almost achieved in one go.
  • One refinement was necessary to maintain the patient's stability.
  • The patient did not use threads only through class III elastics, accurate design and perfect expression of the appliance make it successful.

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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