Treatment Summary
Patient Information
- Age: 36
- Gender: female
- Invisalign Submission Option: Full
Total Treatment Time
- 35 months
Nombre d'aligners
- Maxillary: 51 + 25 + 16 = 92
- Mandibulary: 47 + 25 + 16 = 88
Aligner Wear time
- Treatment aligner change every 14 days.Refinement aligner change every 7 days.
Rétention
- Maxillary: Vivera
- Mandibular: Vivera
Results achieved
- Relation de Classe I obtenue
- Relation de Classe I maintenue
- Guidage fonctionnel des canines des deux côtés
- Articulé croisé postérieur corrigé
- Normal overjet and overbite achieved
- Supraclusion améliorée
- Surplomb amélioré
- Significant improvement ofoverbite
- Amélioration significative du surplomb
- Les axes médians coïncident
- Inclinaison axiale correcte des incisives
- Courbe de Spee nivelée
- Arcades alignées et coordonnées
- Alignement des deux arcades par le biais d'une dérotation
- Forme de l'arcade améliorée
- Aesthetic smile linewas achieved
- Cas dont les objectifs de traitement ont tous été atteints
- Obtention d’arcades harmonieuses
Commentaires
- Important Step: Strategy for CC in order to have a predictable upper distalization. We all know that the combination of distalisation + expansion is not so predictable..lets say that distalisation is a complicated movement and it requires a pure distal vector. When you combine distalisation and expansion its easy to loss track and anchorage so tracking issues can occur.
- From UL3-UR3 AESTHETIC START MOTIVATION & UPPER RIGHT POSTERIOR IN, SIMULTANEOUSLY. From UL1-UR1-UR2 there is proclination of upper anterior in order to improve also torque of upper anterior ( when distalisation reaches upper anterior we need a correct torque of upper anterior in order to retract tem correctly).Also from U1-U13 we lingualize UR7 in order to correct the scissor bite with LR7.Four in a row means that before starting upper right distalisation we need to align UR7,UR6,UR5,UR4 in order to have a predictable pure distalisation on upper right side..
- Retraction of upper anterior followed by intrusión of upper incisors.
- Full time aligner+ Class II elastics wear from U13 ( start of upper right distalisation) to the end of treatment.
- Upper right side distalisation 3.25mm in order to achieve space for a) align high erupted buccal canine b) correct class II molar and canine into class I mmolar and canine
- Lingual conventional bite ramps at lingual of UR1,UL1 improves intrusión predictability to correct the Deep bite.
- Important achievement: The patient only had one molar on the lower right side.Due to lower molar distalisation with invisalign technique ( 4.35mm total mm distalisation ) we achieved the space necesssary for implant placement and improve occlussion of the right side.
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