Class III
,
Anterior crossbite
,
Crowding

Elastics: Class III
,
Distalization
,
Expansion
,
IPR

Treatment information

  • Age: 38
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class III
  • Anterior crossbite
  • Crowding

Use of:

  • Distalization
  • Expansion
  • IPR
  • Elastics: Class III
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 2.3 (UL3)
  • Power ridge feature (G3) on Buccal 4.1 (LR1), Buccal 3.2 (LL2)
  • Optimized multiplane (G4) on Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 3.4 (LL4)
Courtesy of Dr. V. Torres 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
  • Anterior crossbite corrected
  • Midlines coincident
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved

Total treatment Time

  • 16 months

Number of aligners

  • Maxillary: 23 + 23 + 11 = 57
  • Mandibular: 23 + 23 + 11 = 57

Aligner wear time

  • 1-week

Comments

  • For this treatment, we used distalization with Class III elastics to obtain molar Class I relationship
  • IPR  was used on the anterior to avoid proclination
  • Root-buccal torque to improve the teeth in crossbite (1.3-2.2) root inclination

Retention

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