Clase I
,
Mordida cruzada anterior
,
Mordida de ponta a ponta
,
Desvio da linha média maxilar
,
Desviación de la línea media
,
Apiñamiento
,
Rotaciones

Distalización
,
Intrusión
,
Retracción
,
First premolar extraction
,
IPR
,
Cierre de espacio
,
Elásticos: Clase III
,
Elásticos: Vertical
,
Extracción
Courtesy of Dr Y. Nien Shan, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 17
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 36 months

Cantidad de alineadores

  • Maxillary: 66 + 21 + 4 = 91
  • Mandibulary: 66 + 21 + 4 = 91

Aligner Wear time

  • 9-10 days

Retencion

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  • Relación clase I conseguida
  • Guía funcional de caninos en ambos lados
  • Mordida cruzada anterior corregida
  • Resalte y sobremordida normal conseguidos
  •  Resalte mejorado
  • Coincidencia de líneas medias
  • Inclinación axial correcta de incisivos
  • 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

  • This is a pure G6 case using elastics to get a good and comfortable result.
  • During the first series, the patient did not have sensitivity and controlled the wearing time from 9-10 days by feeling (sometimes even 12 days).
  • Class III elastic was added only between stages 34-39 for anchorage control.
  • For the first AA, I just needed to correct the shallow bite, 35 rotation, and bite settling.
  • I tried adding horizontal attachments over posterior teeth for extrusion. But in the end, I also use vertical elastic to reinforce it.
  • Comparing her profile changing, we got a surprising and beautiful outcome.

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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