Class III
,
Anterior crossbite
,
Crowding

Elastics: Class III
,
Mesialization
,
Elastics: vertical
,
Expansion
,
Proclination
,
IPR

Treatment information

  • Age: 43
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class III relationship
  • Anterior Crossbite
  • Crowding
  • Asymmetric arches

Use of:

  • Mesialization
  • Expansion
  • Proclination
  • IPR
  • Elastics: Class III
  • Elastics: Vertical
  • Power Ridge Feature on Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized Rotation Attachment (G3) on Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4)
  • Optimized Root Control Attachments (G4) on Buccal 1.4 (UR4)
  • Pressure Areas (G5) on Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2)
  • Optimized DeepBite Attachments Activated for Premolar Extrusion (G5) on Buccal 3.5 (LL5)
Courtesy of Dr. S. Shih-Hsuan Chen 2016

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
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal¬† overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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
  • Harmonic arches were achieved

Total treatment Time

  • 22 months

Number of aligners

  • Maxillary: 22 + 19 = 41
  • Mandibular: 22 + 18 = 40

Aligner wear time

  • 2 weeks

Comments

  • Upper left incisors have been advanced with ideal root torque
  • Proper overjet, overbite and symmetric arch form have been established
  • Class III relation on the left side has been improved with the use of Class III elastics
  • The patient presents with a favorable profile change and a more esthetic smile