Clase III
,
Mordida cruzada anterior
,
Mordida de lado a lado
,
Open bite
,
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
,
Leveling curve of Spee
,
Extrusión
,
Expansión
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 17
  • Gender: male
  • Invisalign Treatment Option: Teen

Total Treatment Time

  • 17 meses

Número de aligners

  • Maxillary: 32 + 17 = 49
  • Mandibulary: 32 + 17 = 49

Aligner Wear time

  • Progressive Aligner change protocol.( 14 day -10 day-7 day). At Refinement period 7 day change aligner interval.

Results achieved

  • Consecución de una relación de Clase I
  • Guía canina funcional en ambos lados
  • Mordida cruzada anterior corregida
  • Normal overjet and overbite achieved
  • Mordida profunda mejorada
  • Resalte mejorado
  • Significant improvement ofoverbite
  • 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

Comentarios

  • 1.Sequential lower arch distalisation ( tooth by tooth ) is the key factor to go from Class Molar and canine into Class I Molar and Canine.
    2.Esthetic start motivation from stages L1 to L6 prior starting sequential lower distalisation.
    3.Esthetic start motivation goal is to improve the lower anterior crowding in the first stages which patients appreciate and motivates them.
    4.Lingual bevelled attachments at lower incisors allows us extra anchorage during sequential distalisation of lower molars and premolars.
    5.Molar anchorage attachments: Once the second lower molars and first lower molars finish distalisation we place a bevelled attachment at the buccal surface of the molars increasing aligner fitness and anchorage for the upcoming premolars and lower anterior to be distalised.
    6.Upper Maxilla posterior expansion.
    7.***One of the key factor is that with lower arch distalisation we achieve overjet which is crucial in order to improve the lower incisor torque and to retract upper incisors improving esthetic inclination.The goal is to achieve 131 interincisal angle at the end of treatment.
    8.Full time 22 hour per day aligner and class III elastics is requiered.
    9.Vivera Retainer upper and lower arch (night time wear)
    10.Fixed lingual retainer 3-3 .

Images

Initial and final

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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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