Class III
,
Anterior crossbite
,
Midline shift
,
Crowding

Distalization
,
Intrusion
,
Expansion
,
Retraction
,
IPR

Treatment in the Spotlight

Sequential Lower distalisation is applied in the lower arch in order to treat class III treatments.
	Sequential Attachment Placement on lower distalized molars and premolars increases aligner fitness and lower anchorage.
	With Esthetic Start Motivation Strategy patients achieve short term lower anterior esthetic results keeping high motivation and full time aligner & elastic wear during total treatment time.
	Clincheck software is a key tool in order to plan the exact movements needed for a class III correction. Clincheck permits total Anteroposterior Control in order to plan and avoid undesired movements such as lower incisor  proclination in a Class III treatment.
Sequential Lower distalisation is applied in the lower arch in order to treat class III treatments. Sequential Attachment Placement on lower distalized molars and premolars increases aligner fitness and lower anchorage. With Esthetic Start Motivation Strategy patients achieve short term lower anterior esthetic results keeping high motivation and full time aligner & elastic wear during total treatment time. Clincheck software is a key tool in order to plan the exact movements needed for a class III correction. Clincheck permits total Anteroposterior Control in order to plan and avoid undesired movements such as lower incisor  proclination in a Class III treatment.
The most important tool is the treatment plan set up in ClinCheck software. I insure that I provide patients with an esthetic start so that they are motivated thru treatment and placement of proper attachments is also critical.

Treatment information

  • Age: 20
  • Gender: M
  • Invisalign Treatment Option: Full

Diagnostic Summary:

  • Class III canine relationship
  • Anterior Crossbite
  • Mild upper and lower Anterior Crowding

Use of:

  • Expansion
  • Intrusion
  • Retraction
  • IPR
Courtesy of Dr. Malekian   2015

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final
lower
right
front
left

Radiographs

ClinCheck treatment plan

video anterior
video right-left
video upper-lower
Download ADF files
Initial

Treatment summary

Results Achieved:

  • Class I relationship achieved
  • Arches aligned and coordinated
  • Functional overjet and overbite
  • Midlines aligned

Total treatment time:

  • 25 months

Number of Aligners:

  • Maxillary: 46
  • Mandibular:50

Comments:

  • No refinement was needed

Retention:

  • Maxillary: Vivera retainers
  • Mandibular: Vivera + lingual retainer