Klasse I
,
Open bite
,
Enge Zahnbögen
,
Asymmetrische Zahnbögen
,
Maxilläre Mittellinien-Abweichung
,
Mandibuläre Mittellinien-Abweichung
,
Engstand

Extrusion
,
Intrusion
,
Expansion
,
Proklination
,
ASR
Courtesy of Dr. M. Pedernera, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 39
  • Gender: female
  • Invisalign Submission Option: Lite

Total Treatment Time

  • 9 monate

Anzahl der Aligner

  • Maxillary: 14 + 12 = 26
  • Mandibulary: 14 + 12 = 26

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Klasse I-Relation erzielt
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Normal overjet and overbite achieved
  • Mittellinien symmetrisch
  • Spee-Kurve nivelliert
  • Zahnbögen begradigt und koordiniert
  • Zahnbogenform verbessert
  • Aesthetic smile linewas achieved
  • Alle Behandlungsziele wurden erreicht für den Fall
  • Harmonie der Zahnbögen wurde erzielt

Bemerkungen

  • The anterior open bite, anterior proclination combined with narrow arches and crowding was a tough basically because not only the alignement and expansión could make the anterior open bite to get worse, I combined a mild expansion on the upper and lower arches, with anterior and posterior IPR in the lower arch to be able to solve the problem of the crowding without the need of proclination.
  • The first set of aligners were made after taking PVS impressions and the following sets after scanning with iTero Element.
    The first set of aligners were changed every 2 weeks but in the refinement stage the patient was asked to do it every week.
  • The 1.2 and 2.2 teeth were reshaped wearing just a small part of the incisal edge to improve their shape

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Fortschritt

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

Ausgangsposition Finale
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