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
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 20
  • Gender: male
  • Invisalign Treatment 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.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progreso

Click to compare enlarged
upper
lower
right
front
left
InicialFinales
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiografías

Inicial Finales
Click to compare enlarged402
Click to compare enlarged396