Clase I
,
Mordida cruzada anterior
,
Mordida de lado a lado
,
Open bite
,
Arcadas estrechas
,
Desplazamiento de la línea media
,
Apiñamiento
,
Rotaciones

Extrusión
,
Expansión
,
Retracción
,
IPR
Courtesy of Dr. K. Malekian, 2016
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 47
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 22 meses

Número de aligners

  • Maxillary: 36 + 16 = 52
  • Mandibulary: 36 + 16 = 52

Aligner Wear time

  • Treatment aligners every 14 days/ Refinement aligner change every 7 days

Retencion

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Consecución de una relación de Clase I
  • Relación de Clase I mantenida
  • Guía canina funcional en ambos lados
  • Mordida cruzada anterior corregida
  • Normal overjet and overbite achieved
  • Mejora significativa del resalte
  • Inclinación axial adecuada de los incisivos
  • Curva de Spee nivelada
  • Arcadas alineadas y coordinadas
  • Alineación de dos arcadas mediante desrotación
  • Forma de la arcada mejorada
  • Aesthetic smile linewas achieved
  • Todos los objetivos del tratamiento alcanzados
  • Se han conseguido arcadas armónicas

Comentarios

  • The total amount of IPR planned resolved upper and lower anterior crowding and simultaneously we retracted upper and lower anterior teeth to correct the dental Bi-protrusion.
  • IPR average of 0.4mm-0.5mm at mesial and distal of upper premolar,canines and incisors.
  • IPR of 0.5mm at lower premolars, canines and lower incisors except at LL5, LL4, LL3 ( 0.7mm )
  • Alignment and Retraction of upper and lower anterior helps us to achieve "relative extrusion" in order to close the anterior open bite. Once upper and lower anterior teeth are aligned we use optimized extrusion attachment for extrusion of UR2 and UL2.
  • Optimized root control attachment was used for tooth UR1 for the tipping correction (from distal to mesial movement).

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progreso

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

Inicial
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