Class III
,
Anterior crossbite
,
Spacing
,
Diastema

Elastics: Class III
,
Distalization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction

Treatment information

  • Age: 16
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

Diagnostic Summary

  • Class III
  • Anterior crossbite
  • Asymmetric arches
  • Spacing
  • Diastema

Use of:

  • Distalization
  • Expansion
  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • Retraction
  • Elastics: Class III
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 2.3 (UL3)
  • Optimized extrusion attachment (G3) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 2.4 (UL4), Buccal 2.5 (UL5)
  • Pressure areas (G5) on Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
  • Conventional bite ramp on Lingual 1.3 (UR3), Lingual 2.3 (UL3)
Courtesy of Dr J. Zhu 2019

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 achieved
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • 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

  • 32 months

Number of aligners

  • Maxillary: 39 + 8 + 6 = 53
  • Mandibular: 39 + 8 + 6 = 53

Aligner wear time

  • 2-weeks

Comments

  • We used Elastics class III for distalization and placed Optimized attachments to manage deep overbite
  • The patient had good cooperation with aligner wear and elastics which contributed to a successful treatment
  • We finished this case with Vivera