Class III
,
Anterior crossbite
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
IPR
,
TADs
,
Elastics: Class III
Courtesy of Dr Y. Liu, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 13 months

Number of aligners

  • Maxillary: 41
  • Mandibulary: 49

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • 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

  • Upper arch: right sequential distalization to relieve anterior crowding
  • Lower arch: right sequential distalization to correct the shifted lower dental midline
  • After upper right first molar distalization was completed, we put a miniscrew over the right IZC area for anchorage of right Class III elastics

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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