Clase III
,
Mordida cruzada posterior
,
Mordida cruzada anterior
,
Deep bite
,
Arcadas estrechas
,
Arcadas asimétricas
,
Desviación de la línea media maxilar
,
Desviación mandibular de la línea media
,
Desplazamiento de la línea media
,
Apiñamiento
,
Rotaciones
,
Espaciado
,
Diastema

Distalización
,
Mesialización
,
Leveling curve of Spee
,
Intrusión
,
Expansión
,
Retracción
,
Proinclinación
,
IPR
,
Tratamiento de fase II
,
Elásticos: Clase III
Courtesy of Dr. K. Malekian, 2019
Before picture of treatment

Tratamiento destacado

Dr. K. Malekian

We would like to thank Dr. Malekian for this Class III case submission, that provides an almost step by step insight into the excellent treatment planning with a great treatment end result.

Dr. K. Malekian

Treatment Summary

Patient Information

  • Age: 31
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 20 meses

Número de aligners

  • Maxillary: 62 + 17 = 79
  • Mandibulary: 62 + 17 = 79

Aligner Wear time

  • Progressive Aligner Change: 14 Days- 10 Days- 7 Days.

Retencion

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Consecución de una relación de Clase I
  • Relación de Clase I mantenida
  • Guía canina funcional en ambos lados
  • Mordida cruzada anterior corregida
  • Mordida cruzada posterior corregida
  • Normal overjet and overbite achieved
  • Mordida profunda mejorada
  • Resalte mejorado
  • Significant improvement ofoverbite
  • Mejora significativa del resalte
  • Coincidente con líneas medias
  • Inclinación axial adecuada de los incisivos
  • Curve of Spee leveled
  • Arcadas alineadas y coordinadas
  • Alineación de dos arcadas mediante desrotación
  • Forma de la arcada mejorada
  • Aesthetic smile linewas achieved
  • Todos los objetivos del tratamiento alcanzados
  • Se han conseguido arcadas armónicas

Comentarios

  • Maxilla arch expansion
  • Mesialization of upper arch: molars, premolars, canine
  • Sequential lower arch distalization: molars, premolars, canine & incisors ( total distalization 3.25mm )
  • Full-time class iii elastics wear
  • Full-time aligner wear
  • Sequential attachments at lower molars: at the stage, the lower molars finish distalization a 4mm beveled attachment is placed at the buccal surface of the lower molars to increase anchorage
  • Lingual beveled attachments placed at the lingual surface of lower incisors
  • Retraction and simultaneous lingual root torque of lower incisors during lower arch sequential distalization
  • The lower reversed curve of Spee flattened
  • Multiple rotations were aligned with optimized rotation attachments: ur5, ur4, ul4
  • Spacing and diastema were closed at upper incisors

Images

Initial and final

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lower
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front
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upper
lower
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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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