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Class III, Posterior crossbite, Narrow arches, Asymmetric arches, Mandibular midline deviation

 
Distalisation, Expansion, IPR, TADs, Elastics: Class III
 

Courtesy of Dr S. Oliveira, 2021

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Treatment Summary

Patient Information
  •  Age: 26
  •  Gender: female
  •  Invisalign Treatment Option: Invisalign Comprehensive
Total Treatment Time
  •  21 months
Number of aligners
  •  Maxillary: 48 + 9 = 57
  •  Mandibulary: 48 + 9 = 57
Aligner Wear time
  •  1-week
Retention
  •  Maxillary: Fixed/Bonded
  •  Mandibular: Fixed/Bonded
Results achieved
  •  Class I relationship achieved
  •  Functional canine guidance on both sides
  •  Posterior crossbite corrected
  •  Normal overjet and overbite achieved
  •  Midlines coincident
  •  Arches aligned and coordinated
  •  Arch form improved
  •  Aesthetic smile line was achieved 
  •  Harmonic arches were achieved
Comments
  • The desired results were obtained by expansion of arches with MARPE pre-ortho treatment.
  • Coordination of both upper and lower dental arch shape by expansion on the upper arch.
  • Distalisation of lower posterior teeth to achieve class I molar relationship.
  • Correction of lower midline deviation
  • Power ridges on lower incisors to prevent periodontal complications such as gingival recession or alveolar bone dehiscence.
  • IPR was used to correct Bolton discrepancy.
      

Initial

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Final

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Other Cases

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Underbite
Courtesy of Dr K. MALEKIAN, 2021
Class III, Posterior crossbite, Anterior crossbite, Edge to edge bite, Open bite, Narrow arches, Asymmetric arches, Maxillary midline deviation, Mandibular midline deviation, Midline shift, Crowding, Rotations
underbite-Case3 main- 1169_photo_initial_front
Underbite
Courtesy of Dr R. Almada, 2021
Class III, Anterior crossbite, Edge to edge bite, Open bite, Narrow arches, Mandibular midline deviation, Crowding, Rotations

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