Class III
,
Anterior crossbite
,
Open bite
,
Posterior crossbite
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Distalization
,
Mesialization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR
,
Pre-surgical
Courtesy of Dr. B. Wang, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 20 months

Number of aligners

  • Maxillary: 49 + 13 = 62
  • Mandibulary: 49 + 13 = 62

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Overjet improved
  • Significant improvement ofoverbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Endodontic treatment on the 1.6 and 3.6
  • Periodontal treatment for gingivitis
  • Pre-surgical orthodontic treatment
  • Upper posterior distalization for upper anterior teeth decompensation
  • Torque correction on lower anterior teeth for decompensation
  • Orthognathic surgery
  • Close attention was paid to the pre-treatment severe root resorption for upper central incisors during the whole surgical-orthodontic treatment

Images

Initial and final

InitialFinal
Before picture of treatment
After picture of treatment
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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

Radiographs

Initial Final
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