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
Before picture of treatment

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

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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lower
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front
left
DébutFinal
Before picture of treatment
After picture of treatment
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Radiographies

Début Final
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