Pre-restorative
,
Class III
,
Anterior crossbite
,
Spacing
,
Diastema

Distalization
,
Retraction
,
Space Closure

Treatment information

  • Age: 14
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class III
  • Anterior crossbite
  • Spacing
  • Diastema
  • Pre-restorative

Use of:

  • Distalization
  • Retraction
  • Space Closure
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 4.4 (LR4), Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 1.2 (UR2), Buccal 2.3 (UL3)
  • Power ridge feature (G3)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 4.5 (LR5), Buccal 3.4 (LL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.5 (UR5)
  • Pressure areas (G5) on Lingual 1.1 (UR1), Lingual 2.1 (UL1), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
  • Optimized extrusion attachments for molars (G7+) on Buccal 4.6 (LR6), Buccal 4.7 (LR7), Buccal 3.6 (LL6)
Courtesy of Dr G. Theodoridis 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
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 19 months

Number of aligners

  • Maxillary: 27 + 13 + 10 = 50
  • Mandibular: 27 + 13 + 10 = 50

Aligner wear time

  • 1-week

Comments

  • The first set of 27 aligners were used to resolve the crossbite and space closure
  • During the anterior retraction the aligners were changed every 5 days to correct occlusal interference as fast as possible
  • Class III elastics were used in order to provide proper anchorage for Class III correction
  • The treatment continued with additional aligners for another 10 +10 weeks
  • Growth evaluation continued and it exhibited no negative results.

Retention

  • Maxillary:
  • Mandibular: