Class III
,
Anterior crossbite
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Pre-restorative

Mesialization
,
Expansion
,
Retraction
,
Proclination
,
IPR

Treatment information

  • Age: 35
  • Gender: male
  • Invisalign Treatment Option: Invisalign Lite

Diagnostic Summary

  • Class III
  • Anterior crossbite
  • Asymmetric arches
  • Mandibular midline deviation
  • Midline shift
  • Crowding
  • Pre-restorative

Use of:

  • Mesialization
  • Expansion
  • Proclination
  • Retraction
  • IPR
  • Optimized rotation attachment (G3) on Buccal 1.5 (UR5), Buccal 4.3 (LR3), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Power ridge feature (G3) on Lingual 2.2 (UL2)
  • Optimized multiplane (G4) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 1.3 (UR3), Buccal 2.3 (UL3)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.4 (UR4), Buccal 2.4 (UL4)
  • Pressure areas (G5) on Lingual 4.3 (LR3), Lingual 3.2 (LL2)
Courtesy of Dr. L. Closs 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
Download ADF files
Initial
Refinement

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Anterior crossbite corrected
  • Significant improvement of overjet
  • Proper axial inclination of incisors
  • Alignment of both arches through derotation
  • Arch form improved

Total treatment Time

  • 11 months

Number of aligners

  • Maxillary: 14 + 13 = 27
  • Mandibular: 14 + 13 = 27

Aligner wear time

  • 10 days

Comments

  • Power ridges + pressure points on the lower arch associated with IPR was essential to torque(lingual) and retract incisors in the lower arch
  • Expansion of the upper arch associated with the proclination of upper incisors helped in aligning teeth and correction of anterior crossbite