Klasse I
,
Klasse II Div. 1
,
Kantenbiss
,
Enge Zahnbögen
,
Asymmetrische Zahnbögen
,
Mittellinienverschiebung
,
Engstand
,
Rotationen

Distalisation
,
 Nivellierung der Spee-Kurve
,
Extrusion
,
Expansion
,
Retraktion
,
ASR
,
Elastics: Klasse II
,
Elastics: Klasse III
Courtesy of Dr H. Garcia Alatorre, 2018
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 11 monate

Anzahl der Aligner

  • Maxillary: 19 + 15 = 34
  • Mandibulary: 19 + 15 = 34

Aligner Wear time

  • 10 tage

Results achieved

  • Klasse I-Relation erzielt
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Normal overjet and overbite achieved
  • Tiefbiss verbessert
  • Overjet verbessert
  • Significant improvement ofoverbite
  • 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

  • Biprotrusion and proinclination of the upper and lower incisors was theprimary factor to solve in this case.
  • The plan was to retraction and expansion over both arches, controlling anterior torque and retruding incisors to improve smile arc and Profile.
  • Midline deviation was solved.
  • We obtained an extrusion of upper incisors, for the smile arc improvement.
  • 4.7 initially had a rotation of almost 40° degrees, we made this correction with the use of aligners only.
  • Crowding was successfully solved by expansion + IPR.
  • Posterior planned torques were obtained and all objectives of the treatment were completed.
  • As we can see in the panoramic X-Ray, roots were verticalized, so theres a big improvement of IMPA and interincisal angle.
  • We obtained an improvement of patients profile (lips got retruded)
  • Assymetric CII and CIII elastics were implemented to solve CII on right side and correct Midlines.

Images

Initial and final

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upper
lower
right
front
left
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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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