Class III
,
Openbite
,
Narrow arches
,
Posterior crossbite
,
Crowding

Elastics: Class II
,
Intrusion
,
Expansion
,
Retraction

Treatment information

  • Age: 19
  • Gender: M
  • Invisalign Treatment Option: Full

Diagnostic Summary:

  • Tendency of Class III molar relationship
  • Posterior crossbite
  • Anterior openbite
  • Narrow arches
  • Crowding

Use of:

  • Intrusion
  • Expansion
  • Retraction
  • Elastics on 1.6 (UR6), 2.6 (UL6), 3.3 (LL3), and 4.3 (LR3) for 17 months
  • Optimized Extrusion
  • Optimized Root Control
  • Optimized Rotation
  • Power Ridge Feature
Courtesy of Dr. K. Takamoto 2014

Photos

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

Radiographs

  • Skeletal: Class III tendency
  • Dental: Class I
  • Maxilla: Normal
  • Mandible: Mild prognathia
  • Overbite: -8mm

ClinCheck treatment plan

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

Treatment summary

Results Achieved:

  • Class I skeletal and dental relationship achieved
  • Functional occlusion
  • All treatment goals were achieved

Total treatment time:

  • 17 months

Number of Aligners:

  • Maxillary: 18+32=50
  • Mandibular: 18+32=50

Comments:

  • Tongue thrust
  • Obstructive sleep apnea
  • Essix® overlay placed on maxillary posterior teeth for 17 months
  • AcceleDent® appliance used 20 minutes per day for 15 months

Retention:

  • Maxillary: Invisalign aligner
  • Mandibular: Invisalign aligner