Clase II div. 1
,
Mordida cruzada posterior
,
Mordida cruzada anterior
,
Mordida de lado a lado
,
Resalte aumentado
,
Arcadas estrechas
,
Arcadas asimétricas
,
Desviación mandibular de la línea media
,
Desplazamiento de la línea media
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Apiñamiento
,
Rotaciones
,
Anterior a restauración

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

Treatment Summary

Patient Information

  • Age: 46
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 23 meses

Número de aligners

  • Maxillary: 41 + 19 + 18 = 78
  • Mandibulary: 41 + 19 + 18 = 78

Aligner Wear time

  • Progressive Interval Aligner change 14 days- 10 days- 7 days. At refinement Aligner interval change is 7 days.

Results achieved

  • Consecución de una relación de Clase I
  • Relación de Clase I mantenida
  • Guía canina funcional en ambos lados
  • Mordida cruzada anterior corregida
  • Mordida cruzada posterior corregida
  • Normal overjet and overbite achieved
  • 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
  • Todos los objetivos del tratamiento alcanzados
  • Se han conseguido arcadas armónicas

Comentarios

  • 1. Clincheck Planning strategy for high canine 23 : Due to anatomic high buccal position with severe lack of space we planned to move lingually canine 23 as soon as we achieved space with Maxilla posterior area expansion.2. Posterior Expansion of upper premolar and molar area in order to correct the posterior cross bite on the right side.3. Canine 43 with severe rotation and trapped between adjacent teeth 32 and 43 : Clincheck planning was based on distalization of adjacent premolars 44,45 distally with IPR control Clincheck protocol and tracking in order to achieve the necessary space in order to allow canine 43 to rotate and align.

    4. Tracking of severe rotations of teeth 31 and 43 was one of the key points.

    5. Open Bite closure : Once we achieved developed arch form and alignment and leveling of upper and lower anterior teeth we placed Multi- Tooth Extrusion attachment (G4) at upper incisors and canines.

     

Images

Initial and final

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front
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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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