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 Treatment 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

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged298
Click to compare enlarged310