Class III
,
Edge to edge bite
,
Open bite
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Diastema

Leveling Curve of Spee
,
Extrusion
,
Expansion
,
Space Closure
,
Pre-surgical
,
Elastics: vertical
Courtesy of Dr R. Lie, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 28 + 11 + 12 = 51
  • Mandibulary: 28 + 11 + 12 = 51

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
  • Normal  overjet and overbite achieved
  • Significant improvement of overjet
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • This is a combined surgical orthodontic case for the correction of Class III malocclusion with underlying mandibular hyperplasia in A-P.
  • Pre-surgical Invisalign treatment was carried to develop the archform with leveling and aligning the teeth.
  • No interproximal enamel reduction was necessary.
  • Ramus bilateral sagittal split orthognathic surgical procedure was carried to correct the skeletal discrepancy and set the occlusion into Class I.
  • Lastly finishing and settling of the occlusion was completed by using Invisalign Appliance with intermaxillary elastics.

Images

Initial and final

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upper
lower
right
front
left
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lower
right
front
left

Progress

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lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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