Class I
,
Class III
,
Anterior crossbite
,
Increased overjet
,
Openbite
,
Spacing

Elastics: Class III
,
Extrusion
,
Proclination
,
IPR

Treatment information

  • Age: 34
  • Gender: male
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class I relationship
  • Class III relationship
  • Anterior Crossbite
  • Mandibular midline deviation
  • Increased overjet
  • Openbite
  • Spacing

Use of:

  • Elastics: Class III
  • Extrusion
  • Proclination
  • IPR
  • Optimized Rotation Attachment (G3) on Buccal 4.3 (LR3), Buccal 3.5 (LL5)
  • Multi-Tooth Extrusion Attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Optimized Root Control Attachments (G4) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 3.3 (LL3)
Courtesy of Dr. S. Lawrence 2017

Photos

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

Radiographs

ClinCheck treatment plan

video anterior
video right-left
video upper-lower

Treatment summary

Results Achieved

  • Class III relationship maintained
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 22 months

Number of aligners

  • Maxillary: 24 + 9 + 15 = 48
  • Mandibular: 24 + 9 + 15 = 48

Aligner wear time

  • 2-weeks

Comments

  • Class III anterior open bite was corrected by a combination of absolute active extrusion of the upper anterior teeth as well as incisor proclination
  • Retraction of lower anterior teeth using existing space as well as space gained by performing IPR and Class III elastic wear contributed to the correction of the anterior open bite

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera

Publication


Successful treatment of an adult patient with class iii malocclusion and open bite using the invisalign system
English 2016

Dr Sarah Lawrence