Class III
,
Anterior crossbite
,
Asymmetric arches
,
Mandibular midline deviation

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR
,
Elastics: Class II
,
Elastics: Class III
Courtesy of Dr V. Ngantung, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 12
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 22 + 13 + 18 = 53
  • Mandibulary: 22 + 13 + 18 = 53

Aligner Wear time

  • Between 7 days to 2 weeks

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • 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

  • Since Invisalign can give me the "predicted outcome" using the clincheck I was able to carefully treatment plan to address the most significant problem (in this care the primary concern was the asymmetric arch)
  • This case would be very difficult to treat with traditional braces due to the asymmetric arch
  • I feel the clincheck played a very significant role in achieving the desired results

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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