Classe III
,
Articulé croisé postérieur
,
Articulé croisé antérieur
,
Occlusion de bout-à-bout
,
Open bite
,
Arcades étroites
,
Arcades asymétriques
,
Décalage de la ligne médiane maxillaire
,
Décalage de la ligne médiane mandibulaire
,
Décalage des lignes médianes
,
Encombrement
,
Rotations

Élastiques : Classe III
,
Distalisation
,
 Nivellement de la courbe de Spee
,
Égression
,
Expansion
,
Vestibulo-version
,
RIP
,
Traitement de Phase II
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 23 mois

Nombre d'aligners

  • Maxillary: 31 + 16 + 15 = 62
  • Mandibulary: 31 + 17 + 15 = 63

Aligner Wear time

  • Progressive Aligner change 14 day-10 day-7 day interval based on complexity of movements and patient compliance.At refinement 7 day aligner change interval.

Rétention

  • Maxillary: n

Results achieved

  • Relation de Classe I obtenue
  • Guidage fonctionnel des canines des deux côtés
  •  Articulé croisé antérieur corrigé
  • Articulé croisé postérieur corrigé
  • Normal overjet and overbite achieved
  • 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

    • 1. Sequential Lower distalization protocol with aesthetic start motivation.
      2. Lower arch sequential distalization permits us to achieve space in the lower arch and go from Class III molar and canine into Class I molar and canine.
      3. Lower arch sequential distalization allowsus to obtain overjet in order to correct the anterior crossbite and to torque lower incisors lingually.
      4. Lower arch sequential distalizationallows us to achieve over-jet in order to correct the upper and lower incisor angulation and achieve 131 degrees final interincisal angle.
      5. From L1 to L6 we achieve partial lower anterior alignment which motivates the patient in order to have high compliance during the period of 8-10 months of sequential lower arch distalization.
      6. Upper Arch Posterior Expansion in order to correct lateral cross-bite.
      7. Upper Anterior proclination in order to correct anterior cross-bite.
      8. Full time aligner and class III elastics ( 22 hours/day)
      9. Root Control Attachment Upper right central (11): Tipping root distally

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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