Class III, Anterior crossbite, Crowding, Narrow arches, Midline shift, Posterior crossbite

Expansion, Proclination, Distalization, Elastics: Class III

Treatment information

  • Age: 21
  • Gender: female
  • Invisalign Treatment Option: Teen

Diagnostic Summary

  • Class III relationship
  • Narrow Arches
  • Midline Shift
  • Anterior Crossbite
  • Posterior Crossbite
  • Mandibular midline deviation
  • Crowding

Use of:

  • Distalization
  • Elastics: Class III
  • Expansion
  • Proclination
  • Power Ridge Feature on Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized Rotation Attachment (G3) on Buccal 4.4 (LR4)
  • Optimized Extrusion Attachment (G3) on Buccal 1.3 (UR3)
  • Optimized Root Control Attachments (G4) on Buccal 1.4 (UR4), Buccal 2.1 (UL1), Buccal 4.3 (LR3), Buccal 3.3 (LL3)
  • Pressure Areas (G5) on Lingual 4.3 (LR3)
Courtesy of Dr H. Samoto 2018
Award 2017 Peer Review Award

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final
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
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal¬† overjet and overbite achieved
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line¬†was achieved
  • Harmonic arches were achieved

Total treatment Time

  • 18 months

Number of aligners

  • Maxillary: 28
  • Mandibular: 34

Aligner wear time

  • 2-weeks

Comments

  • I conducted upper and lower molar distalization in both sides to improve severe crowding without TAD and IPR.
  • Gaining space without extraction teeth and TAD is comfortable for the patient.