Klasse III
,
Anteriorer Kreuzbiss
,
Kantenbiss
,
Enge Zahnbögen
,
Mittellinienverschiebung
,
Engstand
,
Rotationen

Elastics: Klasse III
,
Distalisation
,
 Nivellierung der Spee-Kurve
,
Extrusion
,
Expansion
,
Elastics: Vertikal
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 9
  • Gender: female
  • Invisalign Submission Option: Teen

Total Treatment Time

  • 24 monate

Anzahl der Aligner

  • Maxillary: 20 + 37 + 15 = 72
  • Mandibulary: 20 + 37 + 15 = 72

Aligner Wear time

  • Progressive Aligner change interval.14 day -10 day-7 day depending on complexity of the movements and patient compliance.At refinement 7 day change interval.

Results achieved

  • Klasse I-Relation erzielt
  • Klasse I-Relation erhalten
  • Funktionale Eckzahn-Führung auf beiden Seiten
  •  Kreuzbiss im Frontzahnbereich korrigiert
  • Normal overjet and overbite achieved
  • Overjet verbessert
  • Significant improvement ofoverbite
  • Deutliche Verbesserung des Overjet
  • Mittellinien symmetrisch
  • Richtige axiale Schneidezahninklination
  • 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

  • 1. The main goal at the initial Clincheck was to expand and distal upper left molars and premolars in order to open space for canines 13,23.We successfully achieved this goal.
    2. At refinement we used class III elastics and Multi-Extrusion G4 attachments for open bite closure, and Class III elastics to achieve class I molar and canine.
    3. Geometric pontics were placed for teeth 13, 23, 25. During staging the mesio-distal width of pontics 13,23,25 increased in order to allow enough space for eruption.
    4. Canines 13, 23 erupted during treatment period with high angle rotation placed, optimized rotation attachments at refinement period
    5. Multi-Tooth Extrusion Attachments were used at upper and lower incisors and canines for open bite closure.
    6. Class III Elastics were used in order to go from class III into class I molar and canine bilateral

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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