Clase I
,
Mordida cruzada anterior
,
Mordida de ponta a ponta
,
Arcos assimétricos
,
Desvio da linha média mandibular
,
Desviación de la línea media
,
Apiñamiento
,
Rotaciones
,
Espaciado
,
Prerrestaurativo

Elásticos: Clase II
,
 Nivelamento da curva de Spee
,
Intrusión
,
Retracción
,
Otra extracción
,
IPR
,
Cierre de espacio
,
Elásticos: Vertical
Courtesy of Dr S. Chieh Lin, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 34
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 29 meses

Cantidad de alineadores

  • Maxillary: 69 + 15 = 84
  • Mandibulary: 69 + 27 = 96

Aligner Wear time

  • 7days and 10 days

Results achieved

  •  Relación clase I mantenida
  • Guía funcional de caninos en ambos lados
  • Mordida cruzada anterior corregida
  • Normal overjet and overbite achieved
  • Significant improvement ofoverbite
  • Mejora significativa del resalte
  • 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

  • This is a Class I bi-maxillary protrusion case.
  • The ideal treatment plan would have been extraction of 1.4, 2.4, 3.4 and 4.4 with the use of G6 maximal anchorage protocol.
  • Because the patient is missing 1.5 and 3.6 and the minimal health condition of the teeth I decided to Extract 2.5 and 4.5.(both prosthesis) and close the spaces of 1.5,2.5, 3.6 ans 4.5 with maximal anchorage design.
  • This was a very difficult case that had an amazing result with the use of a combination aligners and Class II Elastics.
  • Vivera retainers finalize this treatment.

Images

Initial and final

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Progreso

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InicialFinales
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finales
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