Class III
,
Anterior crossbite
,
Deepbite
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Elastics: Class III
,
Expansion
,
Other extraction
,
First premolar extraction
,
IPR

Treatment information

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

Diagnostic Summary

  • Class III
  • Anterior crossbite
  • Midline shift
  • Mandibular midline deviation
  • Deepbite
  • Crowding
  • Asymmetric arches

Use of:

  • Expansion
  • Extraction
  • First Premolar extraction
  • IPR
  • Elastics: Class III
  • Power ridge feature (G3) on Buccal 4.1 (LR1), Buccal 4.2 (LR2)
Courtesy of Dr K. Tokuhisa 2018

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

Treatment summary

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 of overbite
  • 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 line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 48 months

Number of aligners

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

Aligner wear time

  • 1-week

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