Class III
,
Midline shift

Lower incisor extraction
,
IPR
Courtesy of Dr. C. Wu, 2016
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 20 months

Number of aligners

  • Maxillary: 20 + 12 = 32
  • Mandibulary: 22 + 19 = 41

Retention

  • Maxillary: Other Clear
  • Mandibular: Other Clear

Results achieved

  • Anterior crossbite corrected
  • Arch form improved

Comments

  • Facial asymmetry with chin deviate to right
  • Condylar hyperplasia on the left
  • Convex profile with acute nasal labial angle and everted lower lip
  • Lips are protrusive and incompetent
  • Angle Class III malocclusion with proclined upper incisors, anterior crossbite on 12 & 21 on a skeletal Class I base
  • Increased lower facial height
  • Lower midline off to right
  • Mild crowding is present in both arches

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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