Clase I
,
Mordida cruzada posterior
,
Mordida cruzada anterior
,
Arcadas estrechas
,
Arcadas asimétricas
,
Desviación de la línea media maxilar
,
Desviación mandibular de la línea media
,
Desplazamiento de la línea media
,
Apiñamiento
,
Rotaciones

Distalización
,
 Nivelado de la curva de Spee
,
Extrusión
,
Expansión
,
Elásticos: Clase II
,
Elastics: Class II in Additional Aligners
,
Elásticos: Clase III
Courtesy of Dr. S. Tsai, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 20 meses

Número de aligners

  • Maxillary: 39 + 23 = 62
  • Mandibulary: 39 + 23 = 62

Aligner Wear time

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

Retencion

  • Maxillary: Invisalign aligner
  • Mandibular: Invisalign aligner

Results achieved

  • Relación de Clase I mantenida
  • Guía canina funcional en ambos lados
  • Mordida cruzada posterior corregida
  • Resalte normal y sobremordida conseguida
  • Coincidente con líneas medias
  • Inclinación axial adecuada de los incisivos
  • Arcadas alineadas y coordinadas
  • Alineación de dos arcadas mediante desrotación
  • Forma de la arcada mejorada
  • Consecución de una línea de la sonrisa estética  
  • Todos los objetivos del tratamiento alcanzados
  • Se han conseguido arcadas armónicas

Comentarios

  • The treatment plan for this case is to keep the upper incisors in its initial AP position and get space from maxillary /mandibular arch expansion and distalization
  • Sequential upper and lower arch distalization plan: distalize molars, premolars, then canine & incisors ( total distalization 1.5mm )
  • A 4 mm horizontal CRT on 3.7 was selected to assist molar distalization
  • Doing arch expansion movement while doing sequential distalization
  • Night-time wear of class III elastics after upper sequential distalization was done to assist lower molar distalization

Images

Initial and final

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upper
lower
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front
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upper
lower
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front
left

Progreso

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lower
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front
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InicialFinal
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Final
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