Classe III, Articulé croisé postérieur, Articulé croisé antérieur, Occlusion de bout-à-bout, Deep bite, Arcades étroites, Arcades asymétriques, Décalage de la ligne médiane maxillaire, Décalage de la ligne médiane mandibulaire, Décalage des lignes médianes, Encombrement, Rotations
Distalisation
, Nivellement de la courbe de Spee
, Égression
, Ingression
, Expansion
, Vestibulo-version
, RIP
, Élastiques : Classe III
Courtesy of Dr K. Malekian,
2018
Treatment Summary
Patient Information
- Age: 30
- Gender: male
- Invisalign Submission Option: Invisalign Full
Total Treatment Time
- 21 mois
Nombre d'aligners
- Maxillary: 32 + 33 + 20 = 85
- Mandibulary: 32 + 33 + 20 = 85
Aligner Wear time
- 10 day aligner change for treatment aligner. Refinement aligner change range between 7-5 days.
Results achieved
- Relation de Classe I obtenue
- Relation de Classe I maintenue
- Guidage fonctionnel des canines des deux côtés
- Articulé croisé antérieur corrigé
- 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
- Determine space selection was the key factor to resolve the severe crowding in the upper and lower arch
- Staging was also a key factor: We started with high expansion of upper molars and premolars and when gained enough space we continued with arch development and retraction to extrude upper canines
- IPR was planned at upper and lower premolars
- Carefull IPR tracking with distalization movement of upper and lower premolars allowed space in order to align high angle rotation of canines 2.3,3.3 and 4.3 .
- Conventional bite ramps at the buccal surface of lower four incisors were used in order to correct the deepbite
- Class III elastics were used in order to improve the anterior/posterior relationship and turn Class III canine and molar into full class I molar and canine.
- Proclination of upper laterals 1.2 and 2.2 in order to correct the anterior crossbite.
- Arch coordination tool at clincheck Pro was very helpfull.
- The maxilla and mandible arch form at stage U0-L0 were very asymmetric and required arch form coordination.
- Lower incisor proclination and simultaneously lower canines were retracted and distalized