Clase III
,
Mordida cruzada anterior
,
Resalte aumentado
,
Open bite
,
Desviación de la línea media
,
Apiñamiento
,
Rotaciones

Distalización
,
Extrusión
,
Expansión
,
Retracción
,
IPR
,
Elásticos: Clase III
Courtesy of Dr. K. Malekian, 2016
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 19
  • Gender: male
  • Invisalign Submission Option: Full

Total Treatment Time

  • 25 months

Cantidad de alineadores

  • Maxillary: 40 + 18 = 58
  • Mandibulary: 40 + 18 = 58

Aligner Wear time

  • Treatment aligner cahnghae 14 days Refinement aligner change 7 days

Retencion

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Relación clase I conseguida
  •  Relación clase I mantenida
  • Guía funcional de caninos en ambos lados
  • Mordida cruzada anterior corregida
  • 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

  • Aesthetic Start in the lower arch from L1-L9. The purpose is to achieve partial alignment of lower anterior teeth in order to motivate the patient so during the course of lower distalisation from L9-L40 there is more compliance wearing full time 22 hours aligners and class III elastics.
  • Expansion of upper maxilla and simultaneous retraction of UL1.
  • Lower distalisation as main strategy technique in order to solve the dental class III molar and canine into class I molar and canine.
  • Precision cuts at UR6 and UL6 for Class III elastics.
  • Full time Class III and aligner wear during total treatment time.
  • Once the lower 2nd molars stop distalisation at stage 16, beveled attachment is placed at the buccal surface in order to avoid anchorage loss in the lower arch.
    7.Once the lower 1st molars ,2nd and 1st premolars stop distalisation ...at that stage beveled attachment is placed at the buccal Surface in order to avoid anchorage loss in the lower arch.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progreso

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

Inicial
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