Clase III
,
Mordida cruzada anterior
,
Apiñamiento

Distalización
,
Extrusión
,
Retracción
,
Cierre de espacios
,
Elásticos: Clase III
,
Elásticos: Vertical
Courtesy of Dr V. Laoamata, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 27 meses

Número de aligners

  • Maxillary: 24 + 56 + 14 = 94
  • Mandibulary: 24 + 56 + 14 = 94

Aligner Wear time

  • 10 days when in the lingual root torque controlling stage. 7 days in other stages.

Retencion

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Consecución de una relación de Clase I
  • Guía canina funcional en ambos lados
  • Mordida cruzada anterior corregida
  • Resalte normal y sobremordida conseguida
  • Coincidente con líneas medias
  • Inclinación axial adecuada de los incisivos
  • Arcadas alineadas y coordinadas
  • Consecución de una línea de la sonrisa estética  
  • Todos los objetivos del tratamiento alcanzados
  • Se han conseguido arcadas armónicas

Comentarios

  • This is a Class III spacing case.
  • When we close all lower anterior spaces, the negative overjet (aka anterior crossbite) will be resolved.
  • But according to the very thin symphysis, retraction of lower anterior teeth needs to be done carefully to prevent labial tipping of the root that causes dehiscence.
  • The power ridge feature of the Invisalign system is very effective to control root torque during retraction of lower anterior teeth.
  • We could notice that only lower incisors crowns were retracted while the roots were still in the bone.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
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front
left
InicialFinal
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Final
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