Clase III
,
Mordida cruzada posterior
,
Apiñamiento

Expansión
,
Proinclinación

Información del tratamiento

  • Edad: 9
  • Sexo: hombre
  • Opción de tratamiento Invisalign: Invisalign First

Resumen del diagnóstico

  • Clase III
  • Mordida cruzada posterior
  • Apiñamiento

uso de

  • Expansión
  • Proinclinación
  • Optimized extrusion attachment (G3) on Buccal 1.2 (UR2), Lingual 1.1 (UR1), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1)
  • Optimized retention attachment (Phase 1) on Buccal 3.6 (LL6)
  • Optimized expansion support attachment (Phase 1) on Buccal 1.6 (UR6), Buccal 2.6 (UL6), Buccal 4.5 (LR5), Buccal 4.6 (LR6), Buccal 1.e (URe), Buccal 2.e (ULe), Buccal 4.d (LRd)
Courtesy of Dr. O. Crotty 2019

Las fotos

Click to compare enlarged
upper
Inicial
lower
right
front
left
Click to compare enlarged
upper
Final
lower
right
front
left
Click to compare enlarged
upper
Progreso
lower
right
front
left

Radiografías

Plan de tratamiento ClinCheck

video anterior
video right-left
video upper-lower
Download ADF files
Inicial
Aligners Adicionales

Resumen de tratamiento

Resultados alcanzados

  • Mordida cruzada posterior corregida
  • Resalte normal y sobremordida conseguida
  • Arcadas alineadas y coordinadas
  • Alineación de dos arcadas mediante desrotación
  • Forma de la arcada mejorada
  • Consecución de una línea de la sonrisa estética 

Tiempo total de tratamiento

  • 13 meses

Número de aligners

  • Maxillary: 32 + 29 = 61
  • Mandibular: 32 + 29 = 61

Comentarios

  • After U:32+28 and L:24+28 Invisalign First aligners, the anterior crossbite, posterior crossbite, narrow upper arch, and crowding were all corrected
  • Adequate space prepared for the permanent upper canines and the gingival health around the lower left central incisor was stabilized
  • Good aligner wear compliance and oral hygiene were maintained throughout Phase 1 treatment
  • The Phase 1 treatment time was 13 months, not including the pre-treatment eruption monitoring and passive vacuformed appliance phase. Note: This extra step is not needed in patients who do not require an acclimation phase due to the medical condition.
  • The final photos show the dentition 12-months post Phase I treatment
  • The goals for Phase 2 are to close the remaining lower spaces, extrude the upper left canine, and de-rotate the premolars
  • while maintaining a Class 1 bite relationship.

Retencion

  • Maxillary: Invisalign aligner
  • Mandibular: Invisalign aligner

Publication


Invisalign First case report
English 2019

Dr. Owen Crotty