Class III
,
Anterior crossbite
,
Deep bite
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Elastics: Class III
,
Expansion
,
First premolar extraction
,
Other extraction
,
IPR
Courtesy of Dr K. Tokuhisa, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 26
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 48 months

Number of aligners

  • Maxillary: 37 + 15 + 14 = 66
  • Mandibulary: 62 + 23 + 14 = 99

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship maintained
  • Class III relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement ofoverbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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

  • Extraction of only the right premolar to correct the midline with the help of class III elastics
  • Anterior cross bite was improved
  • This treatment result was achieved with the use of only invisalign

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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