Class III
,
Posterior crossbite
,
Anterior crossbite
,
Edge to edge bite
,
Narrow arches
,
Midline shift
,
Crowding
,
Rotations

Intrusion
,
Expansion
,
Proclination
,
Pre-surgical
Courtesy of Dr. E. Rothier, 2016
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 11 months

Number of aligners

  • Maxillary: 20
  • Mandibulary: 20

Aligner Wear time

  • 2 weeks

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Vivera

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • The case was prepared for orthognatic surgery using Invisalign only without any other appliance or need for elastics.
  • The lower incisors were decompensated, and the heavy posterior contact points of the upper second molars were adjusted before surgery.
  • There was no need for additional aligners.

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
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
Click to compare enlarged314