Clase I
,
Mordida cruzada anterior
,
Mordida de lado a lado
,
Desviación de la línea media maxilar
,
Desplazamiento de la línea media
,
Apiñamiento
,
Rotaciones

Distalización
,
Intrusión
,
Retracción
,
First premolar extraction
,
IPR
,
Cierre de espacios
,
Elásticos: Clase III
,
Elásticos: Vertical
,
Extracción
Courtesy of Dr Y. Nien Shan, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 17
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 36 months

Número de aligners

  • Maxillary: 66 + 21 + 4 = 91
  • Mandibulary: 66 + 21 + 4 = 91

Aligner Wear time

  • 9-10 days

Retencion

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

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

Comentarios

  • This is a pure G6 case using elastics to get a good and comfortable result.
  • During the first series, the patient did not have sensitivity and controlled the wearing time from 9-10 days by feeling (sometimes even 12 days).
  • Class III elastic was added only between stages 34-39 for anchorage control.
  • For the first AA, I just needed to correct the shallow bite, 35 rotation, and bite settling.
  • I tried adding horizontal attachments over posterior teeth for extrusion. But in the end, I also use vertical elastic to reinforce it.
  • Comparing her profile changing, we got a surprising and beautiful outcome.

Images

Initial and final

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Progreso

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InicialFinal
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Final
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