Clase I
,
Apiñamiento

Distalización
,
Mesialización
,
 Nivelado de la curva de Spee
,
Intrusión
,
Expansión
,
Retracción
,
First premolar extraction
,
IPR
,
Elásticos: Clase II
,
Elásticos: Vertical
Courtesy of Dr. T. Minamidate, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 18 meses

Número de aligners

  • Maxillary: 29 + 18 + 8 = 55
  • Mandibulary: 29 + 18 + 8 = 55

Aligner Wear time

  • 1 semana

Retencion

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Consecución de una relación de Clase I
  • Class II relationship maintained
  • Guía canina funcional en ambos lados
  • Resalte normal y sobremordida conseguida
  • Mordida profunda mejorada
  • Resalte mejorado
  • 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

  • There were a few skeletal abnormalities, but the arch length discrepancy was large with severe crowding.
  • The gingival biotype was also thin, and it was determined that it would be difficult to expand the arch and align the teeth without premolar extraction. Otherwise, the risk of gingival recession would be high.
  • Regarding the molar relationship, 1.4 teeth were extracted on the left side and finished Angle Class II, while the left side was kept in Angle Class I.
  • The canine relationship achieved was Class I bilaterally.
  • The midline was matched, the smile line greatly improved, and tight occlusion was achieved throughout the whole arch.

Images

Initial and final

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front
left
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lower
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front
left

Progreso

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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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