Class III
,
Anterior crossbite
,
Maxillary midline deviation
,
Midline shift
,
Crowding

Elastics: Class III
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR
Courtesy of Dr T. Carlyle, 2019
Award 2018 Summit Shoot out
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 24
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 37 months

Number of aligners

  • Maxillary: 41 + 38 + 18 + 13 = 110
  • Mandibulary: 41 + 38 + 18 + 13 = 110

Aligner Wear time

  • Initial aligners 2 weeks then 10 days. Additional aligners 1 week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior 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
  • Arch form improved
  • Aesthetic smile linewas achieved

Comments

  • Initial set of aligners were changed at 2 week intervals for 6 months, then switched to 10 rotations for each aligner after (32 of 44 were used)
  • Uitlization of mandibular bicuspid to bicuspid IPR and Class III elastics with buttons attached to maxillary first molars and mandibular canines with 3/16" 4.5 oz elastics; used 32 of 44 planned aligners
  • Second set of "additional aligners" were placed, microosteoperforations were utilized once in maxillary incisors and canines and aligners changed at weekly intervals
  • Later we switched to 3/16" 2 oz. elastics

Images

Initial and final

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upper
lower
right
front
left
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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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