Class III
,
Anterior crossbite
,
Spacing

Distalization
,
Expansion
,
Proclination
,
Elastics: Class III
Courtesy of Dr J. Tsai, 2023
Before picture of treatment

Treatment Summary

Patient Information

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

Number of aligners

  • Maxillary: 14 + 14 = 28
  • Mandibulary: 16 + 16 = 32

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship achieved
  • 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

  • Simultaneous movement was adopted for this Invisalign First case presented with anterior crossbite.
  • Optimized expansion support attachments were placed on deciduous canines and deciduous 2nd molars for expansion.
  • Slight intrusion of anterior incisors and proclination were prescribed for correction of crossbite.
  • Class III elastics from upper first molars to lower primary canines for Class III correction.

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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