Clase II div. 1
,
Resalte aumentado
,
Arcadas estrechas
,
Desviación mandibular de la línea media
,
Apiñamiento
,
Rotaciones

Restauración
,
Leveling curve of Spee
,
Extrusión
,
Intrusión
,
Expansión
,
Retracción
,
IPR
,
Implantes
Courtesy of Dr R. Loyer, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 69
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 9 meses

Número de aligners

  • Maxillary: 19
  • Mandibulary: 19

Aligner Wear time

  • 2 semanas

Results achieved

  • Relación de Clase I mantenida
  • Class II relationship maintained
  • Normal overjet and overbite achieved
  • Mejora significativa del resalte
  • Inclinación axial adecuada de los incisivos
  • Curve of Spee leveled
  • Arcadas alineadas y coordinadas
  • Forma de la arcada mejorada
  • Aesthetic smile linewas achieved
  • Todos los objetivos del tratamiento alcanzados
  • Se han conseguido arcadas armónicas

Comentarios

  • This patient was formerly treated for her bruxism with the diagnosis of Cervico-Cranio-Mandibular Disorder
  • The final position of her mandibular bone was stable
  • We did expansion and bimaxillary arch correction
  • We created more lingual torque to superior incisors, vestibular torque to inferior incisors, intruded inferior incisors to improve the curve of Spee
  • We improved the superior and inferior canine interrelationship in order to reconstruct canine cusps in a later stage to obtain canine guidance
  • Our goal was to smoothen the sulcus of the inferior lip and chin and to close the nasal-labial angle to improve the patient's profile.
  • We wanted to obtain a right-side Class I dental relationship, but the patient was satisfied and didn't want to continue with Additional Aligners
  • She decided that for her age and condition, the initial treatment including the posterior canine cusp reconstruction was really good. The treatment surpassed her initial expectations

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progreso

Click to compare enlarged
upper
lower
right
front
left
InicialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiografías

Inicial Final
Click to compare enlarged396
Click to compare enlarged390