Class III
,
Anterior crossbite
,
Edge to edge bite
,
Openbite
,
Posterior crossbite
,
Asymmetric arches
,
Mandibular midline deviation
,
Crowding
,
Rotations
,
Spacing

Elastics: Class III
,
Extrusion
,
Expansion
,
Retraction
,
Space Closure

Treatment information

  • Age: 13
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class III
  • Anterior crossbite
  • Edge to edge bite
  • Openbite
  • Posterior crossbite
  • Asymmetric arches
  • Mandibular midline deviation
  • Crowding
  • Rotations
  • Spacing

Use of:

  • Expansion
  • Extrusion
  • Retraction
  • Space Closure
  • Elastics: Class III
  • Optimized rotation attachment (G3) on Buccal 4.3 (LR3)
  • Optimized extrusion attachment (G3) on Buccal 1.3 (UR3)
  • Multi-tooth extrusion attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 3.5 (LL5)
Courtesy of Dr S. Berman 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
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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

  • 33 months

Number of aligners

  • Maxillary: 41 + 23 + 19 = 83
  • Mandibular: 41 + 23 + 19 = 83

Aligner wear time

  • 1-week

Comments

  • Overbite was corrected using optimized extrusion attachments
  • Necessary space was created for high canines to erupt down
  • Retraction of lower teeth were done with the help of Class III elastics, to correct to ideal overjet and achieve class I canines and molars.