Class III
,
Anterior crossbite
,
Increased overjet
,
Asymmetric arches
,
Crowding

Expansion
,
Retraction
,
Proclination
,
IPR
,
TADs
,
Elastics: Class III
,
Elastics: vertical
Courtesy of Dr P. Palmigiani, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 24
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 23 months

Number of aligners

  • Maxillary: 31 + 16 = 47
  • Mandibulary: 31 + 16 = 47

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

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

Comments

  • Aligners were used for 14 days each.
  • A micro implant was used for the verticalization of tooth 4,3 (starting from aligner #19).
  • Using an elastic from a button on the lingual surface of this tooth to the micro implant, 22 hs a day (photo included, stage: aligner 22).
  • Additional aligners were changed every 10 days.
  • At the end of the treatment, vertical elastics were used to engage the bite.

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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