Classe I
,
Surplomb accru
,
Décalage de la ligne médiane maxillaire
,
Décalage des lignes médianes
,
Encombrement
,
Rotations

Élastiques : Classe II
,
RIP

Informations relatives au traitement

  • Âge: 21
  • Sexe: Femelle
  • Option de traitement Invisalign: Full

Synthèse du diagnostic

  • Relation de Classe I
  • Décalage des lignes médianes
  • Décalage de la ligne médiane maxillaire
  • Surplomb accru
  • Encombrement
  • Rotations

Utilisation de

  • Élastiques : Classe II
  • RIP
  • Power Ridge Feature on Buccal 4.2 (LR2), Buccal 3.2 (LL2)
  • Optimized Rotation Attachment (G3) on Buccal 1.5 (UR5), Buccal 2.3 (UL3), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.5 (LL5)
  • Optimized Root Control Attachments (G4) on Buccal 1.1 (UR1), Buccal 3.4 (LL4)
  • Pressure Areas (G5) on Lingual 1.1 (UR1), Lingual 2.1 (UL1), Lingual 2.2 (UL2), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1)
Courtesy of Dr R. Bordin 2017

Photos

Click to compare enlarged
upper
Début
lower
right
front
left
Click to compare enlarged
upper
Final
lower
right
front
left
Click to compare enlarged
upper
Le progrès
lower
right
front
left

Plan de traitement ClinCheck

video anterior
video right-left
video upper-lower
Download ADF files
Début
Aligners supplémentaires

Résumé du traitement

Résultats atteints

  • Relation de Classe I maintenue
  • Guidage fonctionnel des canines des deux côtés
  • Surplomb normal et recouvrement obtenu
  • Surplomb amélioré
  • Inclinaison axiale correcte des incisives
  • Arcades alignées et coordonnées
  • Forme de l'arcade améliorée
  • Ligne de sourire esthétique obtenue 
  • Obtention d’arcades harmonieuses

Durée totale du traitement

  • 29 mois

Nombre d'aligners

  • Maxillary: 41 + 13 = 54
  • Mandibular: 41 + 19 = 60

Durée de port des aligners

  • 2-weeks

Commentaires

  • I think we only achived the satisfactory result (me and the client), because mainly of the extense use of Class II elastics, that helped not loosing any of the spaces created only by IPRs, without expanding arches (It was decided that her face is slim and already shows a lot of her teeth buccally). So by using elastics all the time, we managed to reduce the overjet,upper incisors proclination, helped not loosing anchorage and helped to solve the crowding without any proclination of lower incisors.The client wore religiously Class II elastics throughout the whole treatment, from start to end.The midline was not improved a lot, although it was defined in the additional aligners´ clincheck to make them less assymetric. In the additional aligners I tried to make them more coincident and improve also minor rotations left, and also to improve the levelling of the inferior arch. The levelling and rotations improved, but the midline didn´t a lot. But the client didn´t care since from the beginning about the lack of coincidence of the midline. It was not a initial goal of treatment.

Rétention

  • Maxillary: Other Clear
  • Mandibular: Other Clear