Anterior crossbite
,
Posterior crossbite
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding

Distalization
,
Expansion
,
Elastics: Class III
Courtesy of Dr. C. I. Chen, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 24
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 55 + 17 = 72
  • Mandibulary: 55 + 17 = 72

Aligner Wear time

  • 1-week

Retention

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

Results achieved

  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • Harmonic arches were achieved

Comments

  • We gained space in both arches with staged distalization and proper proclination
  • we chose to apply staged expansion and CRT on the 1.2 palatal side to solve posterior and anterior crossbite
  • We used vertical elastics to correct the posterior open bite during active aligner treatment

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
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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