Class III
,
Openbite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Spacing
,
Diastema

Elastics: Class III
,
Mesialization
,
Leveling curve of Spee
,
Extrusion
,
Expansion
,
Retraction
,
Proclination
,
Space Closure
,
Phase II treatment

Treatment information

  • Age: 29
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class III
  • Openbite
  • Narrow arches
  • Asymmetric arches
  • Maxillary midline deviation
  • Mandibular midline deviation
  • Midline shift
  • Crowding
  • Rotations
  • Spacing
  • Diastema

Use of:

  • Mesialization
  • Expansion
  • Extrusion
  • Leveling Curve of Spee
  • Proclination
  • Retraction
  • Space Closure
  • Elastics: Class III
  • Phase II treatment
  • Optimized rotation attachment (G3) on Buccal 4.3 (LR3), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 1.3 (UR3), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Buccal 2.3 (UL3), Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized multiplane (G4) on Buccal 3.6 (LL6)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 4.4 (LR4)
Courtesy of Dr. K. Malekian 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
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 20 months

Number of aligners

  • Maxillary: 32 + 18 + 21 = 71
  • Mandibular: 32 + 18 + 21 = 71

Aligner wear time

  • Progressive Aligner Change : 14 -10-7 Days

Comments

  • Upper Arch Posterior Expansion
  • Upper Arch Mesialization(1-2mm): Class III Molar and Canine to Class I Molar and Canine
  • Lower Incisor and Canine Torque ( Key Factor)
  • Optimized Extrusion Attachments at Upper and Lower Incisors and Canines: Anterior Open Bite Closure.
  • Class III Elastics: Class III Molar and Canine to Class I Molar and Canine. (Full time 22 hours/day wear).

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer