Clase III, Mordida cruzada posterior, Mordida cruzada anterior, Open bite, Arcos assimétricos, Desvio da linha média maxilar, Desvio da linha média mandibular, Desviación de la línea media, Rotaciones, Espaciado, Diastema
Distalización
, Mesialización
, Nivelamento da curva de Spee
, Extrusión
, Intrusión
, Expansión
, Retracción
, Proclinación
, IPR
, Cierre de espacio
, Prequirúrgico
, Elásticos: Clase II
, Elásticos: Clase III
Courtesy of Dr. B. Wang,
2021
Treatment Summary
Patient Information
- Age: 20
- Gender: male
- Invisalign Submission Option: Invisalign Full
Total Treatment Time
- 18 meses
Cantidad de alineadores
- Maxillary: 39 + 16 = 55
- Mandibulary: 39 + 16 = 55
Aligner Wear time
- 1 semana
Retencion
- Maxillary: Hawley
- Mandibular: Hawley
Results achieved
- Relación clase I conseguida
- Guía funcional de caninos en ambos lados
- Mordida cruzada anterior corregida
- Mordida cruzada posterior corregida
- Resalte y sobremordida normal conseguidos
- Mejora significativa del resalte
- 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
- Forma de la arcada mejorada
- Se logró una línea de sonrisa estética
- Todos los objetivos del tratamiento se lograron en el caso
- Se lograron arcadas armoniosas
Comentarios
- Pre-surgical orthodontic treatment, upper and lower dental arch shape coordination, retract upper anterior teeth for sagittal decompensation with existed spacing and upper posterior teeth distalization.
- Crown labial torque combined with root lingual torque was used for lower anterior teeth for sagittal decompensation with the help of power ridge design in order to prevent gingival recession, fenestration, and dehiscence during orthodontic treatment.
- IPR was carried out to correct Bolton discrepancy in the upper and lower anterior region, lower premolar extrusion combined with anterior teeth intrusion to help level Curve of Spee, move the upper dental midline to coincide with facial midline, and move the lower dental midline to coincide with the middle of the mandible, impacted 8s were all extracted before pre-surgical orthodontics
- Le fort I osteotomy was carried out for maxilla advancement, Bilateral sagittal split osteotomy was carried out for mandible setback and derotation.
- Post-surgical orthodontic treatment for stabilizing maxilla, mandible relationship, and position as well as detailing the final occlusions.
398 
392 
