Class III
,
Posterior crossbite
,
Anterior crossbite
,
Deep bite
,
Asymmetric arches
,
Midline shift
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR
Courtesy of Dr V. Laoamata, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 28 months

Number of aligners

  • Maxillary: 27 + 21 + 13 = 61
  • Mandibulary: 60 + 21 + 24 = 105

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • 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 (unilateral crossbite) and posterior (scissors bite on the right side) interferences were removed with the bite plane effect of the aligners without auxiliary mechanics.
  • Hence, treating asymmetrical bites is predictable and effective when using the Invisalign clear aligner system.

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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