Clase I
,
Arcadas asimétricas
,
Desviación mandibular de la línea media
,
Desplazamiento de la línea media
,
Apiñamiento
,
Rotaciones
,
Espaciado

Mesialización
,
 Nivelado de la curva de Spee
,
Extrusión
,
Intrusión
,
Expansión
,
Retracción
,
First premolar extraction
,
IPR
,
Cierre de espacios
,
Elásticos: Clase II
,
Elastics: Class II in Additional Aligners
,
Elásticos: Clase III
,
Elásticos: Vertical
,
Extracción
Courtesy of Dr B. Wang, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 29 meses

Número de aligners

  • Maxillary: 76 + 30 + 24 = 130
  • Mandibulary: 76 + 30 + 24 = 130

Aligner Wear time

  • 1 semana

Retencion

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Relación de Clase I mantenida
  • Guía canina funcional en ambos lados
  • Resalte normal y sobremordida conseguida
  • Coincidente con líneas medias
  • Inclinación axial adecuada de los incisivos
  • Curve of Spee leveled
  • Arcadas alineadas y coordinadas
  • Alineación de dos arcadas mediante desrotación
  • Forma de la arcada mejorada
  • Consecución de una línea de la sonrisa estética  
  • Todos los objetivos del tratamiento alcanzados
  • Se han conseguido arcadas armónicas

Comentarios

1. Both upper and lower 1st premolars as well as 18, 28 and 38 were extracted and maximum anchorage was designed to help correct skeletal bimaxillary protrusion
2. 38 was used to replace 37, segmental archwire technique was used for a short time during 38 mesialization and space closure between 37 and 38
3. Power ridge design was used in both upper and lower anterior teeth to help prevent periodontal iatrogenic sequelae such as further gingival recession and additional bone loss during orthodontic treatment
4. Premolars extrusion combined with anterior teeth intrusion to help level the curve of spee
5. Both upper and lower dental arch were reshaped and coordinated
6. IPR was performed to help correct Bloton discrepancy in upper and lower anterior region as well as reduce black triangle in upper and lower anterior teeth
7. Different kinds of elastics were used to help anchorage control and final occlusion detailing

Images

Initial and final

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upper
lower
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front
left
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upper
lower
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front
left

Progreso

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lower
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front
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InicialFinal
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Final
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