Clase I
,
Resalte aumentado
,
Deep bite
,
Arcadas estrechas
,
Desplazamiento de la línea media
,
Apiñamiento
,
Rotaciones

 Nivelado de la curva de Spee
,
Intrusión
,
Expansión
,
Proinclinación
,
IPR
Courtesy of Dr M. Pedernera, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 13 meses

Número de aligners

  • Maxillary: 20 + 21 + 17 = 58
  • Mandibulary: 20 + 21 + 17 = 58

Aligner Wear time

  • 1 semana

Results achieved

  • Relación de Clase I mantenida
  • Guía canina funcional en ambos lados
  • Normal overjet and overbite achieved
  • Coincidente con líneas medias
  • Curva de Spee nivelada
  • Arcadas alineadas y coordinadas
  • Todos los objetivos del tratamiento alcanzados

Comentarios

  • Treatment plan was to expand both arches to improve the narrow arches
  • I planned an strategic IPR from lower 4 to lower 4 in order to compensate the Bolton discrepancy and be able to end up in a full Class I with centered midlines
  • Lower incisors intrusion was planned together with very mild proclination to correct the deep bite. 
  • One thing to have into account is the amount of IPR that is more than the recommended by align because, I didn't want to procline lower incisors too much in order to avoid anterior contacts, also the periodontal biotype is thin, but mainly because of the Bolton Index discrepancy which says there's an excess of dental material in the lower arch not only in the anterior sector but in the posterior.
  • The patient didn't accept a "lower incisor extraction".

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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