Classe III
,
Articulé croisé antérieur
,
Occlusion de bout-à-bout
,
Arcades étroites
,
Décalage des lignes médianes
,
Encombrement
,
Rotations

Élastiques : Classe III
,
Distalisation
,
 Nivellement de la courbe de Spee
,
Égression
,
Expansion
,
Élastiques : Vertical
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 9
  • Gender: female
  • Invisalign Submission Option: Teen

Total Treatment Time

  • 24 mois

Nombre d'aligners

  • Maxillary: 20 + 37 + 15 = 72
  • Mandibulary: 20 + 37 + 15 = 72

Aligner Wear time

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

Results achieved

  • Relation de Classe I obtenue
  • Relation de Classe I maintenue
  • Guidage fonctionnel des canines des deux côtés
  •  Articulé croisé antérieur 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
  • 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. The main goal at the initial Clincheck was to expand and distal upper left molars and premolars in order to open space for canines 13,23.We successfully achieved this goal.
    2. At refinement we used class III elastics and Multi-Extrusion G4 attachments for open bite closure, and Class III elastics to achieve class I molar and canine.
    3. Geometric pontics were placed for teeth 13, 23, 25. During staging the mesio-distal width of pontics 13,23,25 increased in order to allow enough space for eruption.
    4. Canines 13, 23 erupted during treatment period with high angle rotation placed, optimized rotation attachments at refinement period
    5. Multi-Tooth Extrusion Attachments were used at upper and lower incisors and canines for open bite closure.
    6. Class III Elastics were used in order to go from class III into class I molar and canine bilateral

Images

Initial and final

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

Le progrès

Click to compare enlarged
upper
lower
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 Final
Click to compare enlarged378
Click to compare enlarged390