Clase III, Mordida cruzada posterior, Mordida cruzada anterior, Mordida de ponta a ponta, Open bite, Arcadas estrechas, Arcos assimétricos, Desvio da linha média maxilar, Desvio da linha média mandibular, Desviación de la línea media, Apiñamiento, Rotaciones
Nivelamento da curva de Spee
, Extrusión
, Intrusión
, Expansión
, Retracción
, IPR
, Tratamiento de fase II
, Elásticos: Clase III
Courtesy of Dr. K. Malekian
,
2023
Treatment Summary
Patient Information
- Age: 33
- Gender: male
- Invisalign Submission Option: Invisalign Comprehensive
Cantidad de alineadores
- Maxillary: 32 + 13 = 45
- Mandibulary: 32 + 13 = 45
Aligner Wear time
- Sequential Aligner Change Interval 14 Days-10 Days-7 Days.
Retencion
- Maxillary: Vivera retainer
- Mandibular: Vivera retainer
Results achieved
- Relación clase I conseguida
- Relación clase I mantenida
- Guía funcional de caninos en ambos lados
- Mordida cruzada posterior corregida
- Resalte y sobremordida normal conseguidos
- Resalte mejorado
- Mejora significativa de la sobremordida
- 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
- Maxillary expansion with upper teeth alignment and arch development was performed.
- The upper first molar crossbite was corrected with maxillary expansion.
- Upper incisor retraction was planned during upper arch expansion to correct the excessively proclined upper incisors.
- During upper incisor retraction, lingual root torque of the upper incisors was performed.
- Posterior IPR was planned for the lower premolars and canines to achieve space for retraction of severely rotated and mesially tipped lower canines.
- Lower arch IPR at lower incisors, canines, and premolars permitted space to retract lower incisors to achieve overjet.
- G4 multitooth extrusion attachments were planned to extrude upper incisors and canines to close the anterior open bite.
- Full-time wear of aligners (22 hours) with Class III elastics was used to correct the class III molar and canine and achieve class I molar and canine.
- G3 optimized rotation attachments helped to correct the severe rotation of lower canines.
- Tipping of lower central incisors was planned.
- Power ridges at lower incisors helped to correct lingual root control direction.
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