Clase III
,
Mordida cruzada posterior
,
Mordida cruzada anterior
,
Arcadas asimétricas
,
Desviación mandibular de la línea media
,
Desplazamiento de la línea media
,
Apiñamiento
,
Anterior a restauración

Elásticos: Clase II
,
 Nivelado de la curva de Spee
,
Extrusión
,
Intrusión
,
Expansión
,
Proinclinación
,
IPR
,
Restauración
,
Elásticos: Clase III
Courtesy of Dr L. Ching Fan Li, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 48
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 20 meses

Número de aligners

  • Maxillary: 46 + 17 + 22 = 85
  • Mandibulary: 46 + 17 + 22 = 85

Aligner Wear time

  • Initially every 10 days, weekly from MCC

Results achieved

  • Consecución de una relación de Clase I
  • Guía canina funcional en ambos lados
  • Mordida cruzada anterior corregida
  • Mordida cruzada posterior corregida
  • Normal overjet and overbite achieved
  • Inclinación axial adecuada de los incisivos
  • Curve of Spee leveled
  • Arcadas alineadas y coordinadas
  • Alineación de dos arcadas mediante desrotación
  • Aesthetic smile linewas achieved
  • Todos los objetivos del tratamiento alcanzados
  • Se han conseguido arcadas armónicas

Comentarios

  • The premature contact between anterior teeth leading mandibular displacement was corrected by proclination of upper anterior teeth and upper and lower arch expansion
  • Different patterns of elastics were used throughout the treatment to help arch coordination
  • Extrusion with attachments worked great with leveling of curve of Spee and settling the bite
  • Periodontal condition was maintained
  • Root canal treatment was completed on the upper left canine (23).
  • Prior to final refinement we did composite build up of upper anterior teeth after correction of the anterior crossbite

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left
InicialFinal
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Final
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