Clase I
,
Deep bite
,
Arcadas estrechas
,
Apiñamiento
,
Rotaciones

 Nivelamento da curva de Spee
,
Extrusión
,
Intrusión
,
Expansión
,
Proclinación
Courtesy of Dr M. Pedernera, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 13 meses

Cantidad de alineadores

  • Maxillary: 44 + 24 + 13 = 81
  • Mandibulary: 44 + 24 + 13 = 81

Aligner Wear time

  • 1 semana

Results achieved

  •  Relación clase I mantenida
  • Guía funcional de caninos en ambos lados
  • Normal overjet and overbite achieved
  • Coincidencia de líneas medias
  • Curve of Spee leveled
  • Arcadas alineadas y coordinadas
  • Forma de la arcada mejorada
  • Aesthetic smile linewas achieved
  • Todos los objetivos del tratamiento se lograron en el caso

Comentarios

  • Treatment plan was to expand both arches to improve the narrow arches
  • Procline the upper and lower incisors
  • The overbite was improved by the virtual intrusion due to proclination of the anterior teeth
  • The most challenging issue to be solved was the rotation of 4.5 that had to be rotated more than 52 degrees
  • I planned to do this rotation with the help of a button placed on lingual of 4.6 and lingual of 4.5 which was very efficient
  • In my opinion what was important in this case is taking the bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position, this helped to reduce the number of aligners for the first stage

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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