Class III
,
Anterior crossbite
,
Deepbite
,
Narrow arches
,
Posterior crossbite
,
Asymmetric arches
,
Maxillary midline deviation
,
Crowding

Elastics: Class III
,
Other extraction

Treatment information

  • Age: 21
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class III
  • Anterior crossbite
  • Deepbite
  • Narrow arches
  • Posterior crossbite
  • Asymmetric arches
  • Mandibular midline deviation
  • Crowding

Use of:

  • Extraction
  • Elastics: Class III
Courtesy of Dr G. Kim 2019

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final
lower
right
front
left

Radiographs

ClinCheck treatment plan

video anterior
video right-left
video upper-lower

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal¬† overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overjet
  • Midlines coincident
  • 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

  • 24 months

Number of aligners

  • Maxillary: 39 + 30 = 69
  • Mandibular: 39 + 30 = 69

Aligner wear time

  • 1-week

Comments

  • Patient was asked to wear aligners and class 3 elastics full-time (20 hours per day)
  • In addition, extraction of 3rd molars was timed with the start of Invisalign treatment, to allow lower posterior distalization
  • This reduced the amount of upper incisor proclination and lower incisors retroclination that is typically required to treat a
  • full-cusp Class 3 malocclusion non-surgically.

Retention

  • Maxillary:
  • Mandibular: