List of problems

•Ⅰº crowding of upper teeth, 1mm space between lower teeth.
• Anterior crossbite.
• Labial inclination of upper and lower anterior teeth.
• Molar full Class III relationship in right, Class I molar relationship or mesial molar relationship in left.  
• A mandibular central incisor was missing congenitally.

Treatment Objective

•  Correct anterior crossbite, and align upper and lower teeth.
•  Adjust molar relationship, and the torque of upper and lower anterior teeth.

Orthodontic treatment plan

•  Extract mandibular wisdom tooth, perform IPR to align teeth and correct crossbite.
•  Use implant anchorage for intermaxillary traction during treatment.
•  Retention after fine occlusal adjustment.

Comparison before and after correction

Before correction

After correction

Before correction

After correction

Anterior crossbite

Basic situation

Product:Smartee Clear Aligner

Diagnosis:Class III

Doctor:Ou Lian

Doctor's summary
1. With a strong desire for invisible orthodontic treatment, the patient worked well with the orthodontist during the orthodontic treatment process, achieving good results.
2. Two mandibular wisdom teeth were extracted before orthodontic treatment. Implant anchorage was used for intermaxillary traction during treatment. IPR was performed for lower anterior teeth after treatment, to remove black triangles, making occlusion more stable and the facial shape more coordinated.
Orthodontic treatment steps and cycle

Maxilla:23 sets

Mandible:15 sets

Cycle:12 months