Class III
,
Anterior crossbite
,
Narrow arches
,
Asymmetric arches
,
Crowding
,
Rotations
,
Spacing
,
Diastema

Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR
,
Space Closure
,
Pre-surgical
,
Elastics: Class II
,
Elastics: vertical
Courtesy of Dr B. Wang, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 22
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 42 + 16 = 58
  • Mandibulary: 42 + 16 = 58

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • 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 linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • We used orthognathic surgery to help correct skeletal Class III malocclusion;
  • Retract the upper anterior teeth
  • Labial procline the lower anterior teeth during pre-surgical decompensation;
  • Power ridge is designed for lower anterior teeth to help protect the periodontal status;
  • Expand the lower dental arch to help correct upper and lower dental arch shape discrepancy;
  • use of IPR to help correct Bolton's discrepancy

Images

Initial and final

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

Progress

Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged314
Click to compare enlarged308