Klasse I
,
Enge Zahnbögen
,
Maxilläre Mittellinien-Abweichung
,
Engstand
,
Rotationen

 Nivellierung der Spee-Kurve
,
Expansion
,
Proklination
,
ASR
Courtesy of Dr C. Carvalho, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 35
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 22 monate

Anzahl der Aligner

  • Maxillary: 22 + 22 + 14 = 58
  • Mandibulary: 30 + 22 + 14 = 66

Aligner Wear time

  • 10 Tage

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Klasse I-Relation erhalten
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Normaler Overjet und Overbite erzielt
  • Tiefbiss verbessert
  • Mittellinien symmetrisch
  • Richtige axiale Schneidezahninklination
  • Curve of Spee leveled
  • Zahnbögen begradigt und koordiniert
  • Alignment beider Zahnbögen durch De-Rotation
  • Zahnbogenform verbessert
  • Ästhetische Lachlinie wurde erzielt  
  • Alle Behandlungsziele wurden erreicht für den Fall
  • Harmonie der Zahnbögen wurde erzielt

Bemerkungen

  • Upper and lower expansion performed because the arches were very atresic and there was not enough space
  • Lower and upper IPR performed to gain space for the correct alignment and leveling
  • When we started the expansions, the buccalization of the anterior teeth started to happen
  • I had difficulty when aligning teeth 1.1 and 2.1 and at that moment I lost the alignment adaptation. At this point, we entered into refinement.

Images

Initial and final

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upper
lower
right
front
left
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lower
right
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left

Fortschritt

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AusgangspositionFinale
Before picture of treatment
After picture of treatment
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Röntgenbilder

Ausgangsposition Finale
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