Classe I
,
Supraclusion
,
Arcades étroites
,
Encombrement
,
Rotations

Leveling curve of Spee
,
Égression
,
Ingression
,
Expansion
,
Vestibulo-version

Informations relatives au traitement

  • Âge: 13
  • Sexe: mâle
  • Option de traitement Invisalign: Invisalign Teen

Synthèse du diagnostic

  • Classe I
  • Supraclusion
  • Arcades étroites
  • Encombrement
  • Rotations

Use of:

  • Expansion
  • Égression
  • Ingression
  •  Nivellement de la courbe de Spee
  • Vestibulo-version
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Optimized multiplane (G4) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 3.4 (LL4)
  • Optimized deepbite attachments activated for premolar extrusion (G5) on Buccal 1.5 (UR5), Buccal 3.4 (LL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 2.4 (UL4)
  • Optimized support attachment (G7) on Buccal 1.2 (UR2)
Courtesy of Dr M. Pedernera 2019

Photos

Click to compare enlarged
upper
Début
lower
right
front
left
Click to compare enlarged
upper
Final
lower
right
front
left
Click to compare enlarged
upper
Le progrès
lower
right
front
left

Radiographies

Plan de traitement ClinCheck

video anterior
video right-left
video upper-lower
Download ADF files
Début

Résumé du traitement

Résultats atteints

  • Relation de Classe I maintenue
  • Guidage fonctionnel des canines des deux côtés
  • Surplomb normal et recouvrement obtenu
  • Les axes médians coïncident
  • Curve of Spee leveled
  • Arcades alignées et coordonnées
  • Forme de l'arcade améliorée
  • Ligne de sourire esthétique obtenue 
  • Cas dont les objectifs de traitement ont tous été atteints

Durée totale du traitement

  • 13 mois

Nombre d'aligners

  • Maxillary: 44 + 24 + 13 = 81
  • Mandibular: 44 + 24 + 13 = 81

Durée de port des aligners

  • 1 semaine

Commentaires

  • Treatment plan was to expand both arches to improve the narrow arches
  • Procline the upper and lower incisors
  • The overbite was improved by the virtual intrusion due to proclination of the anterior teeth
  • The most challenging issue to be solved was the rotation of 4.5 that had to be rotated more than 52 degrees
  • I planned to do this rotation with the help of a button placed on lingual of 4.6 and lingual of 4.5 which was very efficient
  • In my opinion what was important in this case is taking the bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position, this helped to reduce the number of aligners for the first stage