Class III
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
IPR
,
Elastics: Class III
Courtesy of Dr H. Sik Park, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 23 months

Number of aligners

  • Maxillary: 35 + 37 + 12 = 84
  • Mandibulary: 35 + 37 + 12 = 84

Aligner Wear time

  • 1-week

Retention

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

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • 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

  • The patient has a Class III tendency.
  • I planned extrusion of upper incisors and IPR on lower incisors to make normal overjet and overbite.
  • Class III elastics were used during treatment time.
  • The upper right canine was rotated, root mesial position, and highly positioned.
  • I needed an additional attachment for extrusion and position of 1.3. at 1st and 2nd additional aligners.

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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