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 Treatment 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

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upper
lower
right
front
left
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lower
right
front
left

Fortschritt

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

Ausgangsposition Finale
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