Class III
,
Anterior crossbite
,
Midline shift
,
Rotations
,
Spacing
,
Pre-restorative

Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Space Closure
,
TADs
,
Elastics: Class III
,
Elastics: vertical
Courtesy of Dr. S. Chiung Hua Huang, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 38
  • Gender: male
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 30 months

Number of aligners

  • Maxillary: 28 + 23 + 23 + 15 = 89
  • Mandibulary: 28 + 23 + 24 + 15 = 90

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Other Clear
  • Mandibular: Other Clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • Deepbite improved
  • 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 linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Use space gained from expansion and IPR in combination with 2 buccal shelf miniscrews for maximal retraction of both upper and lower arches to improve protrusive profile and to coincide midline.
  • Class II/III and midline elastics were used to correct anterior crossbite and midline.
  • Vertical elastics with buttons were used to settle final occlusion with aligners.

Images

Initial and final

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

Progress

Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged314
Click to compare enlarged308