Class III
,
Anterior crossbite
,
Open bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class III
,
Elastics: vertical
Courtesy of Dr K. Sung Chung, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 46
  • Gender: male
  • Invisalign Treatment Option: Invisalign Lite

Number of aligners

  • Maxillary: 14 + 14 = 28
  • Mandibulary: 14 + 14 = 28

Aligner Wear time

  • 12 days

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Other

Results achieved

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

  • Anterior open bite was closed by extrusion of upper incisors and a mild intrusion of posterior teeth.
  • IPR was performed to relieve the crowding and to correct lower midline deviation and Bolton discrepancy.
  • Proclined lower incisors were retracted by IPR and class III elastics to achieve a normal overjet.
  • Leveling of lower arch was done by intrusion of L123 and extrusion of L456.
  • Upper incisor display upon smiling was improved by extrusion of U123.

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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