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

Mesialization
,
Leveling curve of Spee
,
Extrusion
,
Expansion
,
Retraction
,
Proclination
,
Space Closure
,
Phase II treatment
,
Elastics: Class III
Courtesy of Dr. K. Malekian, 2019
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 20 months

Number of aligners

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

Aligner Wear time

  • Progressive Aligner Change : 14 -10-7 Days

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

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 linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

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).

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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