Clase I
,
Mordida cruzada anterior
,
Mordida profunda
,
Desviación de la línea media
,
Apiñamiento

Distalización
,
Intrusión
,
Expansión
,
IPR

Información del tratamiento

  • Edad: 31
  • Gender: F
  • Opción de tratamiento Invisalign: Full

Chief Concern

  • Crossbite and crowding

Resumo diagnóstico

  • Relación clase I
  • Crossbite of the  UR2
  • Increase deepbite
  • Mandibular midline deviation to right
  • Maxillary and Mandibular  crowding

Treatment Plan and ClinCheck Analysis

  • Improved deepbite mainly by intrusion of lower anterior teeth
  • Posterior expansion and distalization of the right side to improve crowding and correct crossbite
  • Adjustment of midlines
  • Partial anterior alignment to motivate the patient with some esthetic result before starting to distalize the upper right side molars
  • Sequential attachment placement in order to gain a better fitting of upper and lower aligners and therefore to not lose anchorage

Uso de

  • Distalización
  • Intrusión
  • Expa
Courtesy of Dr. Malekian 2011

Las fotos

Click to compare enlarged
upper
Inicial
lower
right
front
left
Click to compare enlarged
upper
Finales
lower
right
front
left

Radiografías

  • Wisdom teeth 1.8 (UR8) and 4.8 (LR8) were extracted in order to create space for upper and lower right side distalisation

Plan de tratamiento ClinCheck

video anterior
video right-left
video upper-lower
Download ADF files
Inicial
Refinement

Resumen de tratamiento

Results Achieved:

  • Mordida cruzada anterior corregida
  • Midlines were successfully adjusted
  • Se lograron arcadas armoniosas
  •  Aesthetic smile created

Total treatment time:

  • 29 meses

Number of Aligners:

  • Maxillary: 40+10=51
  • Mandibular: 45+16=61

Comments:

  • This case was presented in the European Summit in Barcelona 2011 under the title “Non Extraction Complex Treatments”
  • Refinement was made with new photos and new impressions

Retention:

    • Maxillary: Vivera retainers
    • Mandibular: Vivera retainers