Clase III
,
Mordida cruzada anterior
,
Mordida de ponta a ponta
,
Open bite
,
Desvio da linha média mandibular
,
Desviación de la línea media
,
Apiñamiento
,
Rotaciones
,
Espaciado

Extrusión
,
Distalización
,
 Nivelamento da curva de Spee
,
Retracción
,
IPR
,
Cierre de espacio
Courtesy of Dr E. Rothier, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 64
  • Gender: male
  • Invisalign Submission Option: Full

Total Treatment Time

  • 11 meses

Cantidad de alineadores

  • Maxillary: 44
  • Mandibulary: 44

Aligner Wear time

  • 1 semana

Results achieved

  • Relación clase I conseguida
  • Guía funcional de caninos en ambos lados
  • Mordida cruzada anterior corregida
  • Normal overjet and overbite achieved
  • Coincidencia de líneas medias
  •  Curva de Spee nivelada
  • Arcadas alineadas y coordinadas
  • Aesthetic smile linewas achieved
  • Todos los objetivos del tratamiento se lograron en el caso
  • Se lograron arcadas armoniosas

Comentarios

  • Although tooth 4.6 is an implant, we decided to avoid movement in some other teeth: 4.7, 3.7, 3.6, 3.5, 3.4, 3.3, 1.6, 1.7, 2.4, 2.5, 2.6 and 2.7.
  • The 4.6 implant was used as an anchorage for the retraction of the right and lower anterior teeth.
  • The anterior midline deviation was corrected using asymmetric interproximal reduction keeping the upper midline in position and moving the lower midline right, so we avoided the use of interproximal elastics in this case.
  • The lower anterior interproximal reduction was used to remove heavy anterior contact points and correct the edge to edge bite.
  • Despite having a diastema between some tooth (4.6 and 4.5 // 4.5 and 4.4 // 4.4 and 4.3) we requested an 0.3 mm IPR.
  • The goal was to reach an overcorrection to close the diastema, and ensure a stronger point of contact.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InicialFinales
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiografías

Inicial
Click to compare enlarged378