Classe I
,
Arcades asymétriques
,
Décalage de la ligne médiane mandibulaire
,
Décalage des lignes médianes
,
Encombrement
,
Rotations
,
Espacement

Mésialisation
,
 Nivellement de la courbe de Spee
,
Égression
,
Ingression
,
Expansion
,
Rétraction
,
First premolar extraction
,
RIP
,
Fermeture d'espace
,
Élastiques : Classe II
,
Elastics: Class II in Additional Aligners
,
Élastiques : Classe III
,
Élastiques : Vertical
,
Extraction
Courtesy of Dr B. Wang, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 29 mois

Nombre d'aligners

  • Maxillary: 76 + 30 + 24 = 130
  • Mandibulary: 76 + 30 + 24 = 130

Aligner Wear time

  • 1 semaine

Rétention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Relation de Classe I maintenue
  • Guidage fonctionnel des canines des deux côtés
  • Surplomb normal et recouvrement obtenu
  • Les axes médians coïncident
  • Inclinaison axiale correcte des incisives
  • Curve of Spee leveled
  • Arcades alignées et coordonnées
  • Alignement des deux arcades par le biais d'une dérotation
  • 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

1. Both upper and lower 1st premolars as well as 18, 28 and 38 were extracted and maximum anchorage was designed to help correct skeletal bimaxillary protrusion
2. 38 was used to replace 37, segmental archwire technique was used for a short time during 38 mesialization and space closure between 37 and 38
3. Power ridge design was used in both upper and lower anterior teeth to help prevent periodontal iatrogenic sequelae such as further gingival recession and additional bone loss during orthodontic treatment
4. Premolars extrusion combined with anterior teeth intrusion to help level the curve of spee
5. Both upper and lower dental arch were reshaped and coordinated
6. IPR was performed to help correct Bloton discrepancy in upper and lower anterior region as well as reduce black triangle in upper and lower anterior teeth
7. Different kinds of elastics were used to help anchorage control and final occlusion detailing

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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