Clase I
,
Deep bite
,
Arcadas estrechas
,
Apiñamiento
,
Rotaciones

 Nivelado de la curva de Spee
,
Extrusión
,
Intrusión
,
Expansión
,
Proinclinación
Courtesy of Dr M. Pedernera, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

Total Treatment Time

  • 13 meses

Número de aligners

  • Maxillary: 44 + 24 + 13 = 81
  • Mandibulary: 44 + 24 + 13 = 81

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
  • Curve of Spee leveled
  • Arcadas alineadas y coordinadas
  • Forma de la arcada mejorada
  • Aesthetic smile linewas achieved
  • Todos los objetivos del tratamiento alcanzados

Comentarios

  • Treatment plan was to expand both arches to improve the narrow arches
  • Procline the upper and lower incisors
  • The overbite was improved by the virtual intrusion due to proclination of the anterior teeth
  • The most challenging issue to be solved was the rotation of 4.5 that had to be rotated more than 52 degrees
  • I planned to do this rotation with the help of a button placed on lingual of 4.6 and lingual of 4.5 which was very efficient
  • In my opinion what was important in this case is taking the bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position, this helped to reduce the number of aligners for the first stage

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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