Class III
,
Anterior crossbite
,
Narrow arches
,
Midline shift
,
Spacing

Intrusion
,
Expansion
,
Space Closure
,
Elastics
,
Pre-restorative
Courtesy of Dr L. Closs, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 9
  • Gender: male
  • Invisalign Submission Option: Invisalign First

Total Treatment Time

  • 7 months

Number of aligners

  • Maxillary: 27
  • Mandibulary: 24

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other Clear
  • Mandibular: Other Clear

Results achieved

  • Aesthetic smile line was achieved
  • Alignment of both arches through derotation
  • Arch expansion achieved
  • Arch form improved
  • Arches aligned and coordinated
  • Class I relationship achieved
  • Curve of Spee leveled
  • Functional overjet and overbite
  • Harmonic arches were achieved
  • Midlines coincident

Comments

  • Intrusion of lower incisors followed by retraction of them;
  • Placement of a 5 mm plastic-only attachment on 7.5 and 8.5, to help in bite opening to correct anterior crossbite.
  • Slight intrusion of anterior incisors and proclination to help correction of crossbite.
  • Class II elastics from upper first molars to lower primary canines.

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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