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

Elásticos: Clase III
,
Distalización
,
 Nivelado de la curva de Spee
,
Extrusión
,
Expansión
,
Proinclinación
,
IPR
,
Tratamiento de fase II
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 23 meses

Número de aligners

  • Maxillary: 31 + 16 + 15 = 62
  • Mandibulary: 31 + 17 + 15 = 63

Aligner Wear time

  • Progressive Aligner change 14 day-10 day-7 day interval based on complexity of movements and patient compliance.At refinement 7 day aligner change interval.

Retencion

  • Maxillary: n

Results achieved

  • Consecución de una relación de Clase I
  • Guía canina funcional en ambos lados
  • Mordida cruzada anterior corregida
  • Mordida cruzada posterior corregida
  • Normal overjet and overbite achieved
  • Resalte mejorado
  • Significant improvement ofoverbite
  • Mejora significativa del resalte
  • Coincidente con líneas medias
  • 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

    • 1. Sequential Lower distalization protocol with aesthetic start motivation.
      2. Lower arch sequential distalization permits us to achieve space in the lower arch and go from Class III molar and canine into Class I molar and canine.
      3. Lower arch sequential distalization allowsus to obtain overjet in order to correct the anterior crossbite and to torque lower incisors lingually.
      4. Lower arch sequential distalizationallows us to achieve over-jet in order to correct the upper and lower incisor angulation and achieve 131 degrees final interincisal angle.
      5. From L1 to L6 we achieve partial lower anterior alignment which motivates the patient in order to have high compliance during the period of 8-10 months of sequential lower arch distalization.
      6. Upper Arch Posterior Expansion in order to correct lateral cross-bite.
      7. Upper Anterior proclination in order to correct anterior cross-bite.
      8. Full time aligner and class III elastics ( 22 hours/day)
      9. Root Control Attachment Upper right central (11): Tipping root distally

Images

Initial and final

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lower
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lower
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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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