Klasse I
,
Erhöhter Overjet
,
Deep bite
,
Enge Zahnbögen
,
Mittellinienverschiebung
,
Engstand
,
Rotationen

 Nivellierung der Spee-Kurve
,
Intrusion
,
Expansion
,
Proklination
,
ASR
Courtesy of Dr M. Pedernera, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 13 monate

Anzahl der Aligner

  • Maxillary: 20 + 21 + 17 = 58
  • Mandibulary: 20 + 21 + 17 = 58

Aligner Wear time

  • 1 woche

Results achieved

  • Klasse I-Relation erhalten
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Normal overjet and overbite achieved
  • Mittellinien symmetrisch
  • Spee-Kurve nivelliert
  • Zahnbögen begradigt und koordiniert
  • Alle Behandlungsziele wurden erreicht für den Fall

Bemerkungen

  • Treatment plan was to expand both arches to improve the narrow arches
  • I planned an strategic IPR from lower 4 to lower 4 in order to compensate the Bolton discrepancy and be able to end up in a full Class I with centered midlines
  • Lower incisors intrusion was planned together with very mild proclination to correct the deep bite. 
  • One thing to have into account is the amount of IPR that is more than the recommended by align because, I didn't want to procline lower incisors too much in order to avoid anterior contacts, also the periodontal biotype is thin, but mainly because of the Bolton Index discrepancy which says there's an excess of dental material in the lower arch not only in the anterior sector but in the posterior.
  • The patient didn't accept a "lower incisor extraction".

Images

Initial and final

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lower
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left

Fortschritt

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AusgangspositionFinale
Before picture of treatment
After picture of treatment
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Röntgenbilder

Ausgangsposition Finale
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