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

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

Courtesy of Dr. K. Malekian, 2019

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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
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 levelled
  •  Arches aligned and coordinated
  •  Arch form improved
  •  Aesthetic smile line was achieved
  •  All treatment goals were achieved case
  •  Harmonic arches were achieved
Comments
  • Upper Arch Posterior Expansion
  • Upper Arch Mesialisation (1-2mm): Class III Molar and Canine to Class I Molar and Canine
  • Lower Incisor and Canine Torque (Key Factor)
  • Optimised 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)

 

Initial

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Final

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Other Cases

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Crowded Teeth
Courtesy of Dr. S. Chieh Lin, 2017
Class III, Anterior crossbite, Open bite, Midline shift, Crowding, Rotations, Spacing
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Crowded Teeth
Courtesy of Dr Q. Chen, 2021
Class II div 1, Increased overjet, Mandibular retrognathia, Deep bite, Narrow arches, Asymmetric arches, Mandibular midline deviation, Midline shift, Crowding

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