Clase I
,
Retrognatia mandibular
,
Arcadas estrechas
,
Apiñamiento
,
Rotaciones

 Nivelamento da curva de Spee
,
Intrusión
,
Expansión
,
First premolar extraction
,
Elásticos: Clase II
,
Extracción
Courtesy of Dr L. Kim Dung, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 23 meses

Cantidad de alineadores

  • Maxillary: 73 + 34 + 7 = 114
  • Mandibulary: 73 + 16 + 7 = 96

Aligner Wear time

  • 10 días

Retencion

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Relación clase I conseguida
  •  Relación clase I mantenida
  • Resalte y sobremordida normal conseguidos
  • 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

  • For this protrusion profile case, we extracted four 1st premolars to retract the anterior teeth.
  • We did maximum anchorage of molars and staging retraction of the anterior teeth.
  • For the 1st additional aligner, we uprighted the posterior teeth and used sequential distalization to decrease the overjet and bite settling.
  • We also used class II elastic with the Additional Aligners.
  • With expansion of both arches, patient's buccal corridor was reduced. The result was a more esthetic smile arch and improved profile.

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 enlarged400
Click to compare enlarged394