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

Extrusion
,
Retraction
,
First premolar extraction
,
Elastics: vertical
,
Extraction
Courtesy of Dr D. Tung Vu, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: male
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 34 + 14 + 6 = 54
  • Mandibulary: 17 + 14 + 6 = 37

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • Class I relationship maintained
  • Class II relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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

  • The first approach is that this case is ideal for surgery with a flat Curve of Spee, mild crowding, minor transverse discrepancy.
  • Maintain class 2 molars on the right, extract #14 and retract #13.
  • Using aligners as guiding tray with buttons cutout for vertical elastics

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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