Clase III
,
Mordida cruzada anterior
,
Arcadas estrechas
,
Mordida cruzada posterior
,
Desviación de la línea media
,
Apiñamiento
,
Rotaciones

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

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 24 meses

Cantidad de alineadores

  • Maxillary: 40 + 17 + 14 = 71
  • Mandibulary: 40 + 17 + 24 = 81

Retencion

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Relación clase I conseguida
  •  Relación clase I mantenida
  • Mordida cruzada anterior corregida
  • Mordida cruzada posterior corregida
  • Normal overjet and overbite achieved
  •  Mordida profunda mejorada
  •  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

  • Aligner wear time: 2-weeks
  • Other results achieved: 1. With Invisalign Technique we have achieved Full Class I molar and canine bilateral with normal overjet and overbite achieved WITH A VERY CONSERVATIVE ALTERNATIVE : No surgery,no fixed appliance , No extraction,,,, just " Sequential Lower Arch Distalisation ". Lower wisdom teeth and full day compliance Aligner + Class III elastics is requiered2.Upper arch maxilary expansión
    3.Root Control attachment UR1 in order to correct tipping teeth UR1.
    4.Clincheck Esthetic Start strategy : Aligners L1 to L7 we achive partial alignment of lower anterior teeth in order to motivate the patient with short term esthetic results before starting lower arch sequential lower molar-premolar-canine and finally lower incisor distalisation.
    5.Upper arch Crowding and lateral Posterior Crossbite( left side )was resolved with Expansion. No uper IPR was requiered.
    6.Anterior Cross Bite was resolved with a combination of : Lower arch distalisation ( principal space achiever) + IPR 0.5mm lower anterior ( incisors and canines) + Upper incisor proclination.
    7.High Patient Compliance is required. Full day 22 hours aligner+class III elastics.
    8.Treatment aligner change every 14 days.
    9.Refinement aligner change every 7 days.

Images

Initial and final

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lower
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front
left
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upper
lower
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front
left

Progreso

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

Inicial Finales
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