Classe III
,
Articulé croisé postérieur
,
Articulé croisé antérieur
,
Arcades étroites
,
Arcades asymétriques
,
Décalage de la ligne médiane maxillaire
,
Décalage de la ligne médiane mandibulaire
,
Décalage des lignes médianes
,
Encombrement
,
Rotations

Distalisation
,
Mésialisation
,
 Nivellement de la courbe de Spee
,
Égression
,
Ingression
,
Expansion
,
Rétraction
,
Vestibulo-version
,
First premolar extraction
,
RIP
,
Fermeture d'espace
,
Pré-chirurgical
,
Élastiques : Classe II
,
Élastiques : Classe III
Courtesy of Dr. B. Wang, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 20
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 26 months

Nombre d'aligners

  • Maxillary: 44 + 33 + 9 = 86
  • Mandibulary: 44 + 33 + 9 = 86

Aligner Wear time

  • 1 week

Rétention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Relation de Classe I obtenue
  • Guidage fonctionnel des canines des deux côtés
  •  Articulé croisé antérieur corrigé
  • Articulé croisé postérieur corrigé
  • Surplomb normal et recouvrement obtenu
  • Amélioration significative du surplomb
  • Les axes médians coïncident
  • Inclinaison axiale correcte des incisives
  • Curve of Spee leveled
  • Arcades alignées et coordonnées
  • Forme de l'arcade améliorée
  • Ligne de sourire esthétique obtenue  
  • Cas dont les objectifs de traitement ont tous été atteints
  • Obtention d’arcades harmonieuses

Commentaires

  • Pre surgical orthodontics: alignment and leveling of both upper and lower denture
  • Coordination of both upper and lower dental arch shape, extraction of 1.4 and 2.4 to retract upper anterior teeth for decompensation. Resolving upper denture crowding and correct upper dental midline deviation. Crow root torque combined with root lingual torque was used for lower anterior teeth for decompensation, power ridge was used for lower anterior teeth to prevent periodontal complications such as gingival recession, alveolar bone dehiscence, and fenestration, IPR was used to correct Bolton discrepancy
  • Orthognathic surgery: Le fort I osteotomy was performed for maxillary advancement, Bilateral sagittal split ramus osteotomy was performed for mandible setback and derotation
  • Post-surgical orthodontics: correct and stabilize post-surgical jaw position and relationship as well as detailing the final occlusal relationships

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Le progrès

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upper
lower
right
front
left
DébutFinal
Before picture of treatment
After picture of treatment
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Radiographies

Début Final
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