Class III
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
Courtesy of Dr T. Thanvarachorn, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 14
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 13 months

Number of aligners

  • Maxillary: 49
  • Mandibulary: 49

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Patient presented with super Cl I molar relationship.
  • Upper arch constrict.
  • Lower arch square with severe crowding.
  • Lower midline deviation.
  • Lower molars distalization was used to gain space and to achieve Cl I molar relationship.
  • Upper arch expansion was used to correct the arch shape.
  • Lower midline deviation was corrected.
  • No additional aligners were used.

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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