Class III
,
Posterior crossbite
,
Anterior crossbite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Pre-restorative

Elastics: Class III
,
Leveling Curve of Spee
,
Extrusion
,
Expansion
,
Retraction
,
IPR
,
Restorative
Courtesy of Dr S. Chieh Lin, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 19
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 35 + 11 = 46
  • Mandibulary: 35 + 11 = 46

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • 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 Class III case with malocclusion, crowding and anterior cross bite
  • The most difficult part is 2.4 severe rotation
  • Due to good a profile of this patient the treatment plan is to get space through expansion and IPR for Bolton's discrepancy and black triangles
  • 2.4 Rotation was corrected by well designed ClinCheck plan with palatal attachment.
  • Class III was corrected with elastics

Images

Initial and final

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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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