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 Treatment 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

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progress

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 enlarged316
Click to compare enlarged310