Class III, Posterior crossbite, Narrow arches, Asymmetric arches, Mandibular midline deviation
Distalisation, Expansion, IPR, TADs, Elastics: Class III
Courtesy of Dr S. Oliveira, 2021
![1210_photo_initial_front-768x528 1210_photo_initial_front-768x528](https://www.digitalplatform.me/hubfs/1210_photo_initial_front-768x528.jpg)
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
![1.case1B-1210_photo_initial_upper-432x297](https://www.digitalplatform.me/hubfs/1.case1B-1210_photo_initial_upper-432x297.jpg)
![2.case1B-1210_photo_initial_lower-432x297](https://www.digitalplatform.me/hubfs/2.case1B-1210_photo_initial_lower-432x297.jpg)
![3.case1B-1210_photo_initial_right-432x297](https://www.digitalplatform.me/hubfs/3.case1B-1210_photo_initial_right-432x297.jpg)
![4.case1B-1210_photo_initial_front-432x297](https://www.digitalplatform.me/hubfs/4.case1B-1210_photo_initial_front-432x297.jpg)
![5.case1B-1210_photo_initial_left-432x297](https://www.digitalplatform.me/hubfs/5.case1B-1210_photo_initial_left-432x297.jpg)
Final
![1.case1A-1210_photo_final_upper-432x297](https://www.digitalplatform.me/hubfs/1.case1A-1210_photo_final_upper-432x297.jpg)
![2.case1A-1210_photo_final_lower-124x85](https://www.digitalplatform.me/hubfs/2.case1A-1210_photo_final_lower-124x85.jpg)
![3.case1A-1210_photo_final_right-432x297](https://www.digitalplatform.me/hubfs/3.case1A-1210_photo_final_right-432x297.jpg)
![4.case1A-1210_photo_final_front-432x297](https://www.digitalplatform.me/hubfs/4.case1A-1210_photo_final_front-432x297.jpg)
![5.case1B-1210_photo_initial_left-432x297](https://www.digitalplatform.me/hubfs/5.case1B-1210_photo_initial_left-432x297.jpg)
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