Klasse I
,
Erhöhter Overjet
,
Deep bite
,
Enge Zahnbögen
,
Maxilläre Mittellinien-Abweichung
,
Mandibuläre Mittellinien-Abweichung
,
Mittellinienverschiebung
,
Engstand
,
Rotationen
,
Prärestaurativ

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

Treatment Summary

Patient Information

  • Age: 47
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 17 monate

Anzahl der Aligner

  • Maxillary: 28 + 25 + 14 = 67
  • Mandibulary: 28 + 25 + 14 = 67

Aligner Wear time

  • 2 weeks at the beggining of the treatment and every 1 week until the end

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

Bemerkungen

  • This case was challenging taking into account the amount of mm of overbite
  • The main issue was to solve the crowding of the lower teeth and creating at least 7 mm of space for the implant of 1.5
  • The treatment plan was to expand both arches
  • In the first Clincheck I requested to mesialize the 1.4 and 1.3, adding IPR to the upper left quadrant in order to obtain space for the mesialization and also to center the upper mid-line to the left
  • Because the excess of Bolton 6 in the lower arch I applied IPR to compensate this
  • During the treatment 2.8 was extracted because of premature contacts with extruded 3.8
  • Patient was advised to extract all of them, but at this time, the patient is not ready to consent

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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