Class II, Class III, Openbite, Posterior Crossbite

IPR, Expansion, Intrusion, Extrusion, Space Closure, Elastics: Class III

Treatment Information

  • Age: 24
  • Gender: male
  • Invisalign Treatment Option: Full

Diagnostic Summary:

  • Class II relationship
  • Class III relationship
  • Posterior Crossbite
  • Open Bite

Use of:

  • Elastics
  • Expansion
  • IPR
  • Intrusion
  • Space Closure
  • Optimized Rotation Attachment (G3) on Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized Extrusion Attachment (G3) on Buccal 1.2 (UR2), Buccal 1.3 (UR3)
  • Optimized Root Control Attachments (G4) on Buccal 1.1 (UR1), Buccal 2.1 (UL1), Buccal 3.3 (LL3)
Courtesy of Dr. Bella Shen Garnett 2016

Photos

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

Radiographs

INITIAL: SNA 84, SNB 77, ANB 7, SN-MP-40, SN-U1 106, U1-NA 6 mm, L1-MP -96, L1-NB 10mm. FINAL: SNA 84, SNB 78, ANB 6, SN-MP 39, U1-SN 102, U1-NA 3mm, L1-MP 83, L1-NB 8mm.

Treatment Summary

Results Achieved:

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Significant improvement of overbite and overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee level
  • Alignment achieved
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved
  • Harmonic arches were achieved

Total treatment time:

  • 16 months

Number of Aligners:

  • Maxillary: 31 + 43 = 74
  • Mandibular: 31 + 43 = 74

Retention:

  • Maxillary: Bonded lingual
  • Mandibular: Bonded lingual