Class III
,
Anterior crossbite
,
Crowding
,
Rotations

Elastics: Class III
,
Distalization
,
IPR
,
Restorative
,
Veneers

Treatment information

  • Age: 44
  • Gender: male
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class III relationship
  • Anterior Crossbite
  • Crowding
  • Rotations

Use of:

  • Distalization
  • Elastics: Class III
  • IPR
  • Veneers
  • Optimized Rotation Attachment (G3) on Buccal 2.2 (UL2)
  • Optimized Extrusion Attachment (G3) on Buccal 1.4 (UR4), Buccal 2.3 (UL3)
Courtesy of Dr L. Pielago 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
Download ADF files
Initial
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Anterior crossbite corrected
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Arch form improved
  • All treatment goals were achieved case

Total treatment Time

  • 30 months

Number of aligners

  • Maxillary: 46 + 28 = 74
  • Mandibular: 46 + 28 = 74

Aligner wear time

  • Initial: 2 wks; Refinements: 1 wk

Comments

  • The treatment plan was thoroughly constructed and reviewed before submitted.
  • The patient was informed that the treatment duration will take long because of the difficulty of the case.
  • Evaluation was done every 6 months to make sure that the treatment plan was working well.
  • Patient compliance was a contributing factor to achieving the objective since he was very cooperative if wearing and cleaning his aligners.