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

 Nivellement de la courbe de Spee
,
Ingression
,
Expansion
,
Vestibulo-version
,
RIP
Courtesy of Dr M. Pedernera, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 13 mois

Nombre d'aligners

  • Maxillary: 20 + 21 + 17 = 58
  • Mandibulary: 20 + 21 + 17 = 58

Aligner Wear time

  • 1 semaine

Results achieved

  • Relation de Classe I maintenue
  • Guidage fonctionnel des canines des deux côtés
  • Normal overjet and overbite achieved
  • Les axes médians coïncident
  • Courbe de Spee nivelée
  • Arcades alignées et coordonnées
  • Cas dont les objectifs de traitement ont tous été atteints

Commentaires

  • Treatment plan was to expand both arches to improve the narrow arches
  • I planned an strategic IPR from lower 4 to lower 4 in order to compensate the Bolton discrepancy and be able to end up in a full Class I with centered midlines
  • Lower incisors intrusion was planned together with very mild proclination to correct the deep bite. 
  • One thing to have into account is the amount of IPR that is more than the recommended by align because, I didn't want to procline lower incisors too much in order to avoid anterior contacts, also the periodontal biotype is thin, but mainly because of the Bolton Index discrepancy which says there's an excess of dental material in the lower arch not only in the anterior sector but in the posterior.
  • The patient didn't accept a "lower incisor extraction".

Images

Initial and final

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left

Le progrès

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DébutFinal
Before picture of treatment
After picture of treatment
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Radiographies

Début Final
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