Clase III, Mordida cruzada posterior, Mordida cruzada anterior, Mordida de lado a lado, Open bite, Arcadas estrechas, Arcadas asimétricas, Desviación de la línea media maxilar, Desviación mandibular de la línea media, Desplazamiento de la línea media, Apiñamiento, Rotaciones
Nivelado de la curva de Spee
, Extrusión
, Intrusión
, Expansión
, Retracción
, IPR
, Tratamiento de fase II
, Elásticos: Clase III
Courtesy of Dr. K. Malekian
,
2023
Treatment Summary
Patient Information
- Age: 33
- Gender: male
- Invisalign Submission Option: Invisalign Comprehensive
Número de aligners
- Maxillary: 32 + 13 = 45
- Mandibulary: 32 + 13 = 45
Aligner Wear time
- Sequential Aligner Change Interval 14 Days-10 Days-7 Days.
Retencion
- Maxillary: Vivera retainer
- Mandibular: Vivera retainer
Results achieved
- Consecución de una relación de Clase I
- Relación de Clase I mantenida
- Guía canina funcional en ambos lados
- Mordida cruzada posterior corregida
- Resalte normal y sobremordida conseguida
- Resalte mejorado
- Mejora considerable de la sobremordida
- Mejora significativa del resalte
- 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
- Maxillary expansion with upper teeth alignment and arch development was performed.
- The upper first molar crossbite was corrected with maxillary expansion.
- Upper incisor retraction was planned during upper arch expansion to correct the excessively proclined upper incisors.
- During upper incisor retraction, lingual root torque of the upper incisors was performed.
- Posterior IPR was planned for the lower premolars and canines to achieve space for retraction of severely rotated and mesially tipped lower canines.
- Lower arch IPR at lower incisors, canines, and premolars permitted space to retract lower incisors to achieve overjet.
- G4 multitooth extrusion attachments were planned to extrude upper incisors and canines to close the anterior open bite.
- Full-time wear of aligners (22 hours) with Class III elastics was used to correct the class III molar and canine and achieve class I molar and canine.
- G3 optimized rotation attachments helped to correct the severe rotation of lower canines.
- Tipping of lower central incisors was planned.
- Power ridges at lower incisors helped to correct lingual root control direction.
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