Clase III
,
Mordida cruzada posterior
,
Mordida cruzada anterior
,
Mordida de ponta a ponta
,
Deep bite
,
Arcadas estrechas
,
Arcos assimétricos
,
Desvio da linha média maxilar
,
Desvio da linha média mandibular
,
Desviación de la línea media
,
Apiñamiento
,
Rotaciones

Distalización
,
Leveling curve of Spee
,
Extrusión
,
Intrusión
,
Expansión
,
Proclinación
,
IPR
,
Elásticos: Clase III
Courtesy of Dr K. Malekian, 2018
Award 2019 Peer Review Award
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 30
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 21 meses

Cantidad de alineadores

  • Maxillary: 32 + 33 + 20 = 85
  • Mandibulary: 32 + 33 + 20 = 85

Aligner Wear time

  • 10 day aligner change for treatment aligner. Refinement aligner change range between 7-5 days.

Results achieved

  • Relación clase I conseguida
  •  Relación clase I mantenida
  • Guía funcional de caninos en ambos lados
  • Mordida cruzada anterior corregida
  • Mordida cruzada posterior corregida
  • Normal overjet and overbite achieved
  •  Mordida profunda mejorada
  •  Resalte mejorado
  • Significant improvement ofoverbite
  • 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

  • Determine space selection was the key factor to resolve the severe crowding in the upper and lower arch
  • Staging was also a key factor: We started with high expansion of upper molars and premolars and when gained enough space we continued with arch development and retraction to extrude upper canines
  • IPR was planned at upper and lower premolars
  • Carefull IPR tracking with distalization movement of upper and lower premolars allowed space in order to align high angle rotation of canines 2.3,3.3 and 4.3 .
  • Conventional bite ramps at the buccal surface of lower four incisors were used in order to correct the deepbite
  • Class III elastics were used in order to improve the anterior/posterior relationship and turn Class III canine and molar into full class I molar and canine.
  • Proclination of upper laterals 1.2 and 2.2 in order to correct the anterior crossbite.
  • Arch coordination tool at clincheck Pro was very helpfull.
  • The maxilla and mandible arch form at stage U0-L0 were very asymmetric and required arch form coordination.
  • Lower incisor proclination and simultaneously lower canines were retracted and distalized

Images

Initial and final

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upper
lower
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front
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upper
lower
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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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