Klasse III
,
Anteriorer Kreuzbiss
,
Deep bite
,
Enge Zahnbögen
,
Kreuzbiss im Seitenzahnbereich
,
Asymmetrische Zahnbögen
,
Maxilläre Mittellinien-Abweichung
,
Mandibuläre Mittellinien-Abweichung
,
Mittellinienverschiebung
,
Engstand
,
Rotationen
,
Lückenstand
,
Diastema

Elastics: Klasse III
,
Distalisation
,
Mesialisation
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Retraktion
,
Proklination
,
ASR
,
Phase-II-Behandlung
Courtesy of Dr. K. Malekian, 2019
Before picture of treatment

Behandlung im Mittelpunkt

Dr. K. Malekian

We would like to thank Dr. Malekian for this Class III case submission, that provides an almost step by step insight into the excellent treatment planning with a great treatment end result.

Dr. K. Malekian

Treatment Summary

Patient Information

  • Age: 31
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 20 monate

Anzahl der Aligner

  • Maxillary: 62 + 17 = 79
  • Mandibulary: 62 + 17 = 79

Aligner Wear time

  • Progressive Aligner Change: 14 Days- 10 Days- 7 Days.

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

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

  • Maxilla arch expansion
  • Mesialization of upper arch: molars, premolars, canine
  • Sequential lower arch distalization: molars, premolars, canine & incisors ( total distalization 3.25mm )
  • Full-time class iii elastics wear
  • Full-time aligner wear
  • Sequential attachments at lower molars: at the stage, the lower molars finish distalization a 4mm beveled attachment is placed at the buccal surface of the lower molars to increase anchorage
  • Lingual beveled attachments placed at the lingual surface of lower incisors
  • Retraction and simultaneous lingual root torque of lower incisors during lower arch sequential distalization
  • The lower reversed curve of Spee flattened
  • Multiple rotations were aligned with optimized rotation attachments: ur5, ur4, ul4
  • Spacing and diastema were closed at upper incisors

Images

Initial and final

AusgangspositionFinale
Before picture of treatment
After picture of treatment
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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

Röntgenbilder

Ausgangsposition Finale
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