Class III
,
Anterior crossbite
,
Narrow arches
,
Crowding

Elastics: Class III
,
Distalization
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination

Treatment information

  • Age: 15
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class III relationship
  • Narrow Arches
  • Anterior Crossbite
  • Crowding

Use of:

  • Distalization
  • Intrusion
  • Extrusion
  • Levelling Curve of Spee
  • Expansion
  • Proclination
  • Elastics: Class III
  • Power Ridge Feature on Buccal 3.1 (LL1)
  • Optimized Rotation Attachment (G3) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 2.3 (UL3), Buccal 4.3 (LR3)
  • Optimized Extrusion Attachment (G3) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.2 (LL2)
  • Optimized Root Control Attachments (G4) on Buccal 1.4 (UR4), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Pressure Areas (G5) on Lingual 4.3 (LR3)
Courtesy of Dr. K. Ojima 2016

Photos

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

Radiographs

ClinCheck treatment plan

video anterior
video right-left
video upper-lower

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case

Total treatment Time

  • Start date 08-26-2014
  • 18 months

Number of aligners

  • Maxillary: 47 + 35 + 32 = 114
  • Mandibular: 31 + 20 + 12 = 63

Retention

  • Maxillary: Invisalign Aligner
  • Mandibular: Invisalign Aligner