Clase III
,
Mordida de ponta a ponta
,
Arcadas estrechas
,
Arcos assimétricos
,
Desvio da linha média mandibular
,
Desviación de la línea media
,
Apiñamiento
,
Rotaciones
,
Espaciado

Distalización
,
Mesialización
,
 Nivelamento da curva de Spee
,
Extrusión
,
Intrusión
,
Expansión
,
Retracción
,
Proclinación
,
Cierre de espacio
,
Prequirúrgico
,
Elásticos: Clase II
,
Elásticos: Clase III
,
Elásticos: Vertical
Courtesy of Dr. B. Wang, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 19
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 26 months

Cantidad de alineadores

  • Maxillary: 43 + 33 = 76
  • Mandibulary: 43 + 33 = 76

Aligner Wear time

  • 1 semana

Retencion

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Relación clase I conseguida
  • Guía funcional de caninos en ambos lados
  • Resalte y sobremordida normal conseguidos
  • Coincidencia de líneas medias
  • Inclinación axial correcta de incisivos
  • Curve of Spee leveled
  • Arcadas alineadas y coordinadas
  • Alineación de ambas arcadas a través de desrrotación
  • Se logró una línea de sonrisa estética  
  • Todos los objetivos del tratamiento se lograron en el caso
  • Se lograron arcadas armoniosas

Comentarios

  • Pre-surgical orthodontics: Alignment, leveling and coordination of upper and lower arches
  • Upper posterior teeth distalization on both sides with the help of Class II elastics to palatally decompensate upper anterior teeth, power ridge was used to prevent a gingival recession, alveolar bone dehiscence and fenestration during lower anterior teeth labially decompensation
  • Orthognathic surgery: Le fort I osteotomy for maxillary advancement, bilateral sagittal split ramus osteotomy for mandibular setback and derotation
  • Post-surgical orthodontics: achieve stable maxillary and mandibular position and detailing the post-surgical occlusal relationship

Images

Initial and final

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Progreso

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InicialFinales
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finales
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