Class III
,
Anterior crossbite
,
Asymmetric arches

Distalization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
Elastics: Class II
,
Elastics: Class III
Courtesy of Dr. M. Tsai, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 26
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 20 months

Number of aligners

  • Maxillary: 30 + 37 = 67
  • Mandibulary: 24 + 7 = 31

Aligner Wear time

  • 10 days

Retention

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

Results achieved

  • Class I relationship achieved
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • Significant improvement of overjet
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • This is a class III malocclusion case with anterior crossbite and asymmetrical arch form
  • Upper anterior teeth were flared
  • Posteriors were distalized to reshape the arch form, meanwhile removing the anterior interference to relocate the mandible position with Class III elastics
  • After mandible jump, we used Class II elastic to achieve molar and canine class I relationship

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

Initial Final
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