Klasse III
,
Kreuzbiss im Seitenzahnbereich
,
Anteriorer Kreuzbiss
,
Enge Zahnbögen
,
Mittellinienverschiebung
,
Engstand
,
Rotationen

Distalisation
,
Intrusion
,
Expansion
,
Proklination
,
ASR
,
Elastics: Klasse III
Courtesy of Dr. K. Malekian, 2016
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 24 monate

Anzahl der Aligner

  • Maxillary: 40 + 17 + 14 = 71
  • Mandibulary: 40 + 17 + 24 = 81

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Klasse I-Relation erzielt
  • Klasse I-Relation erhalten
  •  Kreuzbiss im Frontzahnbereich korrigiert
  • Posteriorer Kreuzbiss korrigiert
  • Normal overjet and overbite achieved
  • Tiefbiss verbessert
  • Overjet verbessert
  • Deutliche Verbesserung des Overjet
  • Mittellinien symmetrisch
  • Richtige axiale Schneidezahninklination
  • Spee-Kurve nivelliert
  • Zahnbögen begradigt und koordiniert
  • Alignment beider Zahnbögen durch De-Rotation
  • Zahnbogenform verbessert
  • Aesthetic smile linewas achieved
  • Alle Behandlungsziele wurden erreicht für den Fall
  • Harmonie der Zahnbögen wurde erzielt

Bemerkungen

  • Aligner wear time: 2-weeks
  • Other results achieved: 1. With Invisalign Technique we have achieved Full Class I molar and canine bilateral with normal overjet and overbite achieved WITH A VERY CONSERVATIVE ALTERNATIVE : No surgery,no fixed appliance , No extraction,,,, just " Sequential Lower Arch Distalisation ". Lower wisdom teeth and full day compliance Aligner + Class III elastics is requiered2.Upper arch maxilary expansión
    3.Root Control attachment UR1 in order to correct tipping teeth UR1.
    4.Clincheck Esthetic Start strategy : Aligners L1 to L7 we achive partial alignment of lower anterior teeth in order to motivate the patient with short term esthetic results before starting lower arch sequential lower molar-premolar-canine and finally lower incisor distalisation.
    5.Upper arch Crowding and lateral Posterior Crossbite( left side )was resolved with Expansion. No uper IPR was requiered.
    6.Anterior Cross Bite was resolved with a combination of : Lower arch distalisation ( principal space achiever) + IPR 0.5mm lower anterior ( incisors and canines) + Upper incisor proclination.
    7.High Patient Compliance is required. Full day 22 hours aligner+class III elastics.
    8.Treatment aligner change every 14 days.
    9.Refinement aligner change every 7 days.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Fortschritt

Click to compare enlarged
upper placeholder
lower placeholder
right
front
left
AusgangspositionFinale
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Röntgenbilder

Ausgangsposition Finale
Click to compare enlarged398
Click to compare enlarged374