Classe I, Classe III, Arcades étroites, Décalage de la ligne médiane mandibulaire, Décalage des lignes médianes, Encombrement, Rotations
Distalisation
, Mésialisation
, Nivellement de la courbe de Spee
, Égression
, Ingression
, Expansion
, Vestibulo-version
, Élastiques : Classe II
Courtesy of Dr M. Pedernera,
2018
Treatment Summary
Patient Information
- Age: 13
- Gender: female
- Invisalign Submission Option: Invisalign Teen
Total Treatment Time
- 29 mois
Nombre d'aligners
- Maxillary: 50 + 16 + 21 = 87
- Mandibulary: 50 + 16 + 21 = 87
Aligner Wear time
- Every 2 weeks the first set of aligners and every week in the Additional Aligners
Results achieved
- Relation de Classe I obtenue
- Guidage fonctionnel des canines des deux côtés
- Normal overjet and overbite achieved
- 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
- To create space for a future implant in the zone of 4.5 I planned on distalizing 4.6 and 4.7
- Mesialization on 4.4, 4.3 created the opportunity tocorrect the lower midline and upright the tipped lower incisors
- The space for the eruption of 3.5 was bigger than needed therefor we distalized 3.4 and 3.3 in order to create a more organic space
- To solve the deep bite I planned intrusion of lower anterior teeth and intrusion on 3.7 and 4.7, with mild extrusion of lower premolars and first molars.
- To help with the intrusion we used precision bite ramps in palatal of 1.2, 1.1, 2.1 and 2.2.
- Upper jaw sequenced expansion by 1/2 protocol and expansion of the posterior teeth
- De-rotation of 1.6 and 2.6 before aligning the anterior teeth and retruding them
- The cooperation of the patient during the hole treatment was absolutely fantastic