Treatment Summary
Patient Information
- Age: 35
- Gender: male
- Invisalign Submission Option: Invisalign Full
Total Treatment Time
- 19 mois
Nombre d'aligners
- Maxillary: 40 + 12 + 10 = 62
- Mandibulary: 40 + 18 + 19 = 77
Aligner Wear time
- 1 semaine
Rétention
- Maxillary: Fixed/Bonded
- Mandibular: Fixed/Bonded
Results achieved
- Relation de Classe I maintenue
- Guidage fonctionnel des canines des deux côtés
- Normal overjet and overbite achieved
- Les axes médians coïncident
- Inclinaison axiale correcte des incisives
- Arcades alignées et coordonnées
- Forme de l'arcade améliorée
- Aesthetic smile linewas achieved
- Cas dont les objectifs de traitement ont tous été atteints
- Obtention d’arcades harmonieuses
Commentaires
- The treatment goals were to retract the upper incisors concomitant with the closure of the excess spaces and midline diastema
- The space closure in the upper arch was achieved through simultaneous retraction and closure of all the spaces between the incisors
- In the lower arch, in view of the large diastema, sequential tooth movement was planned with the movement of the lower central incisors first, in order to create space on either side of the central incisors
- Once sufficient space was created, all the spaces were simultaneously closed together with retraction of the incisors
- The case was monitored for the need for elastics wear, although there were not required as a result of favorable space approximation and retraction of the incisors
- the spaces at the final outcome were not entirely closed, though the Clincheck does point towards full closure of all the spaces
- One of the main reasons that the spaces could not be closed was that the initial tooth-size/arch length discrepancy was too significant as can be observed by the initial large gaps in the anterior segments
- Complete closure would have produced an excellent outcome for this case but the present outcome is still highly satisfactorily considering the initial position of the teeth
- I submitted this case, in order to illustrate that with the proper staging of tooth movement, good control of tooth positions can be achieved with the Invisalign aligner system and closure of large spaces can be done
- The gingival response was excellent as once the lower incisors were in their proper position, the gingiva seemed ’to grow back’
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