Clase I
,
Apiñamiento

Distalización
,
Mesialización
,
 Nivelamento da curva de Spee
,
Intrusión
,
Expansión
,
Retracción
,
First premolar extraction
,
IPR
,
Elásticos: Clase II
,
Elásticos: Vertical
Courtesy of Dr. T. Minamidate, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 18 meses

Cantidad de alineadores

  • Maxillary: 29 + 18 + 8 = 55
  • Mandibulary: 29 + 18 + 8 = 55

Aligner Wear time

  • 1 semana

Retencion

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Relación clase I conseguida
  •  Relación clase II mantenida
  • Guía funcional de caninos en ambos lados
  • Resalte y sobremordida normal conseguidos
  •  Mordida profunda mejorada
  •  Resalte mejorado
  • 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

  • There were a few skeletal abnormalities, but the arch length discrepancy was large with severe crowding.
  • The gingival biotype was also thin, and it was determined that it would be difficult to expand the arch and align the teeth without premolar extraction. Otherwise, the risk of gingival recession would be high.
  • Regarding the molar relationship, 1.4 teeth were extracted on the left side and finished Angle Class II, while the left side was kept in Angle Class I.
  • The canine relationship achieved was Class I bilaterally.
  • The midline was matched, the smile line greatly improved, and tight occlusion was achieved throughout the whole arch.

Images

Initial and final

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left

Progreso

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lower
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left
InicialFinales
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finales
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