Class III
,
Anterior crossbite
,
Crowding

Elastics: Class III
,
Distalization
,
Mesialization
,
Leveling curve of Spee
,
Intrusion
,
Proclination
,
IPR

Treatment information

  • Age: 54
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class III
  • Anterior crossbite
  • Crowding

Use of:

  • Distalization
  • Mesialization
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • Extraction
  • IPR
  • Elastics: Class III
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3)
  • Optimized root control attachments (G4) on Buccal 2.2 (UL2), Buccal 2.3 (UL3), Buccal 2.4 (UL4)
  • Pressure areas (G5) on Buccal 2.1 (UL1), Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
Courtesy of Dr. C. Wu 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
  • Anterior crossbite corrected
  • NormalĀ  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overjet
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved

Total treatment Time

  • 21 months

Number of aligners

  • Maxillary: 68 + 23 + 5 = 96
  • Mandibular: 68 + 23 + 5 = 96

Comments

  • Extraction of the 1.5 to create space for alignment of the 1.3 on maximum anchorage
  • Intrude & procline upper incisors to correct overjet
  • Regain arch symmetry
  • Sequential distalization of lower molars to create space for retraction of lower incisors to help correct the overjet

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded