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 Submission 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

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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