Class III
,
Anterior crossbite
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class III
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR
,
Elastics: vertical
Courtesy of Dr S. Chieh Lin, 2017
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 39 + 9 = 48
  • Mandibulary: 39 + 16 = 55

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Significant improvement ofoverbite
  • 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

  • This is a skeletal Class III with facial asymmetry case, but patient denied the surgical plan.
  • The treatment goal is to correct anterior X-bite and relieve crowding .
  • The clincheck plan contains expand both arch, procline upper incisors to relieve upper crowding and retract lower incisors by IPR.
  • Class III elastics is helpful to correct Class III malocclusion during treatment.

Images

Initial and final

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lower
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front
left
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Progress

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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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