Treatment Summary
Patient Information
- Age: 52
- Gender: female
- Invisalign Submission Option: Invisalign Full
Total Treatment Time
- 26 months
Anzahl der Aligner
- Maxillary: 33 + 22 = 55
- Mandibulary: 33 + 22 = 55
Aligner Wear time
- 15 days - 10 days
Retention
- Maxillary: Fixed/Bonded
- Mandibular: Other clear
Results achieved
- Klasse I-Relation erhalten
- Funktionale Eckzahn-Führung auf beiden Seiten
- Normaler Overjet und Overbite erzielt
- Overjet verbessert
- Mittellinien symmetrisch
- Richtige axiale Schneidezahninklination
- Zahnbögen begradigt und koordiniert
- Zahnbogenform verbessert
- Ästhetische Lachlinie wurde erzielt
- Harmonie der Zahnbögen wurde erzielt
Bemerkungen
- Because of mobility and mesial deep bone loss, the patient received advice from an implantologist to extract tooth 2.1 and place an implant
- We decided to first treat orthodontically and align all teeth, to give her a proper stable occlusion especially 2.1, so, even if she loses the tooth in the future, the implant can be placed in a favorable desirable position.
- Two stages and IPR were needed to completely resolve the crowding of lower incisors, especially tooth 4.2
- IPR and retraction was needed to align and correct the flared upper anterior teeth
- Because of the anterior bone loss, we took our time with the correction
- Endodontic treatment was performed on tooth 2.1 throughout the treatment, and patients' bone loss condition began to improve
- Heavy contacts on anterior were evaluated during the treatment with our focus on tooth 2.1
- Occlusal adjustments on the palatal surface were performed as needed
- At the end of the treatment, the black triangle between 1.1 and 2.1 was improved aesthetically by means of restoring the mesial surfaces using composite resin which closed the remaining gap
- With the correction of the anterior occlusion, the bone loss on the mesial surface of tooth 2.1 and mobility improved a lot
- As for now, the implant of tooth 2.1 is on hold. We hope for forever
- We chose to place a palatal fixed retainer between #1.1 and #2.1 together with clear vacuum-formed retainers for now (Vivera will be done later)
ClinCheck-Behandlungsplan
Smartforce features
- Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
- Optimized extrusion attachment (G3) on Buccal 4.2 (LR2)
- Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 2.2 (UL2)
- Optimized deep bite attachments for anchorage (G5) on Buccal 4.5 (LR5)
- Pressure areas (G5) on Buccal 2.2 (UL2), Lingual 2.2 (UL2)