Clase I, Resalte aumentado, Deep bite, Arcadas estrechas, Desviación de la línea media maxilar, Desviación mandibular de la línea media, Desplazamiento de la línea media, Apiñamiento, Rotaciones, Anterior a restauración
Distalización
, Mesialización
, Nivelado de la curva de Spee
, Intrusión
, Expansión
, Proinclinación
, IPR
, Restauración
, Implantes
Courtesy of Dr M. Pedernera,
2018
Treatment Summary
Patient Information
- Age: 47
- Gender: female
- Invisalign Submission Option: Invisalign Full
Total Treatment Time
- 17 meses
Número de aligners
- Maxillary: 28 + 25 + 14 = 67
- Mandibulary: 28 + 25 + 14 = 67
Aligner Wear time
- 2 weeks at the beggining of the treatment and every 1 week until the end
Results achieved
- Consecución de una relación de Clase I
- Guía canina funcional en ambos lados
- Normal overjet and overbite achieved
- Coincidente con líneas medias
- Curva de Spee nivelada
- Arcadas alineadas y coordinadas
- Forma de la arcada mejorada
- Aesthetic smile linewas achieved
- Todos los objetivos del tratamiento alcanzados
Comentarios
- This case was challenging taking into account the amount of mm of overbite
- The main issue was to solve the crowding of the lower teeth and creating at least 7 mm of space for the implant of 1.5
- The treatment plan was to expand both arches
- In the first Clincheck I requested to mesialize the 1.4 and 1.3, adding IPR to the upper left quadrant in order to obtain space for the mesialization and also to center the upper mid-line to the left
- Because the excess of Bolton 6 in the lower arch I applied IPR to compensate this
- During the treatment 2.8 was extracted because of premature contacts with extruded 3.8
- Patient was advised to extract all of them, but at this time, the patient is not ready to consent