Classe I
,
Classe III
,
Surplomb accru
,
Open bite
,
Arcades étroites
,
Décalage des lignes médianes
,
Encombrement
,
Rotations

Distalisation
,
Égression
,
Expansion
,
Rétraction
,
Élastiques : Vertical
Courtesy of Dr. K. Malekian, 2016
Award 2017 Peer Review Award
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: female
  • Invisalign Treatment Option: Teen

Total Treatment Time

  • 51 months

Nombre d'aligners

  • Maxillary: 50 + 52 + 20 + 16 = 138
  • Mandibulary: 50 + 25 + 25 + 16 = 116

Rétention

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Relation de Classe I obtenue
  • Relation de Classe I maintenue
  • Guidage fonctionnel des canines des deux côtés
  • Normal overjet and overbite achieved
  • Surplomb amélioré
  • 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

  • Treatment aligner change every 14 days. Refinement aligner change every 7 days
  • This is probably one of the most difficult and challenging treatments I have done. The patient father is a doctor and before starting treatment we talked that this treatment required:
  • 1.Extraction of upper premolars in order to align highly erupted upper canines.We wanted to avoid extractions since it was not a good solution for the final profile and upper lip of the patient.
    2.The 5mm anterior open bite required surgery and the father obviously wanted to avoid the surgery for his daughter.
  • The treatment was long but the results are excellent regarding the starting point. I used all CC strategies possible in order to achieve this result (Upper Sequential distalisation of 4-5mm of UR7,UL7).The patient compliance during the total treatment time has been excellent.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Le progrès

right
front
left
DébutFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographies

Début
Click to compare enlarged396