Clase I
,
Clase III
,
Resalte aumentado
,
Open bite
,
Arcadas estrechas
,
Desviación de la línea media
,
Apiñamiento
,
Rotaciones

Elásticos: Vertical
,
Distalización
,
Extrusión
,
Expansión
,
Retracción
Courtesy of Dr. K. Malekian, 2016
Award 2017 Peer Review Award
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: female
  • Invisalign Treatment Option: Teen

Total Treatment Time

  • 51 months

Cantidad de alineadores

  • Maxillary: 50 + 52 + 20 + 16 = 138
  • Mandibulary: 50 + 25 + 25 + 16 = 116

Retencion

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Relación clase I conseguida
  •  Relación clase I mantenida
  • Guía funcional de caninos en ambos lados
  • Normal overjet and overbite achieved
  •  Resalte mejorado
  • Mejora significativa del resalte
  • Coincidencia de líneas medias
  • Inclinación axial correcta de incisivos
  •  Curva de Spee nivelada
  • Arcadas alineadas y coordinadas
  • Alineación de ambas arcadas a través de desrrotación
  • Forma de la arcada mejorada
  • Aesthetic smile linewas achieved
  • Todos los objetivos del tratamiento se lograron en el caso
  • Se lograron arcadas armoniosas

Comentarios

  • Treatment aligner change every 14 days. Refinement aligner change every 7 days
  • This is probably one of the most difficult and challenging treatments I have done. The patient father is a doctor and before starting treatment we talked that this treatment required:
  • 1.Extraction of upper premolars in order to align highly erupted upper canines.We wanted to avoid extractions since it was not a good solution for the final profile and upper lip of the patient.
    2.The 5mm anterior open bite required surgery and the father obviously wanted to avoid the surgery for his daughter.
  • The treatment was long but the results are excellent regarding the starting point. I used all CC strategies possible in order to achieve this result (Upper Sequential distalisation of 4-5mm of UR7,UL7).The patient compliance during the total treatment time has been excellent.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progreso

right
front
left
InicialFinales
Before picture of treatment
After picture of treatment
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Radiografías

Inicial
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