Deep bite
,
Maxilläre Mittellinien-Abweichung
,
Lückenstand
,
Diastema

Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Retraktion
,
Lückenschließung
Courtesy of Dr M. Roennau Lemos Rinaldi, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

Anzahl der Aligner

  • Maxillary: 23 + 11 + 11 = 45
  • Mandibulary: 19 + 22 + 11 = 52

Aligner Wear time

  • 1 woche

Retention

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  • Klasse I-Relation erhalten
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Tiefbiss verbessert
  • Deutliche Verbesserung des Overbite
  • Deutliche Verbesserung des Overjet
  • Mittellinien symmetrisch
  • Richtige axiale Schneidezahninklination
  • Curve of Spee leveled
  • Zahnbögen begradigt und koordiniert
  • Zahnbogenform verbessert

Bemerkungen

The leveling of the curve of Spee was obtained with the intrusion of the upper and lower incisors, and extrusion of premolars.
Bite Ramps planned only in 1.3 and 2.3 to facilitate the extrusion of premolars during the first set of aligners.The excessive overjet made impossible to apply Bite Ramps on upper incisors. At the final of the first set of aligners, the overjet was improved and the midline correction achieved.
The second set was planned with Bite Ramps in anterior teeth and the use of vertical elastics for posterior extrusion. At the final of this set a better overbite was achieved.
The final set of aligners closed residual spaces, and Class II elastics were prescribed to potencialize the action of Power Ridges.

Images

Initial and final

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upper
lower
right
front
left
lower
front
left

Fortschritt

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front
left
AusgangspositionFinale
Before picture of treatment
After picture of treatment
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Röntgenbilder

Ausgangsposition Finale
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