Classe III
,
Articulé croisé antérieur
,
Deep bite
,
Arcades étroites
,
Articulé croisé postérieur
,
Arcades asymétriques
,
Décalage de la ligne médiane maxillaire
,
Décalage de la ligne médiane mandibulaire
,
Décalage des lignes médianes
,
Encombrement
,
Rotations
,
Espacement
,
Diastème

Élastiques : Classe III
,
Distalisation
,
Mésialisation
,
Leveling curve of Spee
,
Ingression
,
Expansion
,
Rétraction
,
Vestibulo-version
,
RIP
,
Traitement de Phase II
Courtesy of Dr. K. Malekian, 2019
Before picture of treatment

Traitement mis à l’honneur

Dr. K. Malekian

We would like to thank Dr. Malekian for this Class III case submission, that provides an almost step by step insight into the excellent treatment planning with a great treatment end result.

Dr. K. Malekian

Treatment Summary

Patient Information

  • Age: 31
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 20 mois

Nombre d'aligners

  • Maxillary: 62 + 17 = 79
  • Mandibulary: 62 + 17 = 79

Aligner Wear time

  • Progressive Aligner Change: 14 Days- 10 Days- 7 Days.

Rétention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Relation de Classe I obtenue
  • Relation de Classe I maintenue
  • Guidage fonctionnel des canines des deux côtés
  •  Articulé croisé antérieur corrigé
  • Articulé croisé postérieur corrigé
  • Normal overjet and overbite achieved
  • Supraclusion améliorée
  • Surplomb amélioré
  • Significant improvement ofoverbite
  • Amélioration significative du surplomb
  • Les axes médians coïncident
  • Inclinaison axiale correcte des incisives
  • Curve of Spee leveled
  • 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

  • Maxilla arch expansion
  • Mesialization of upper arch: molars, premolars, canine
  • Sequential lower arch distalization: molars, premolars, canine & incisors ( total distalization 3.25mm )
  • Full-time class iii elastics wear
  • Full-time aligner wear
  • Sequential attachments at lower molars: at the stage, the lower molars finish distalization a 4mm beveled attachment is placed at the buccal surface of the lower molars to increase anchorage
  • Lingual beveled attachments placed at the lingual surface of lower incisors
  • Retraction and simultaneous lingual root torque of lower incisors during lower arch sequential distalization
  • The lower reversed curve of Spee flattened
  • Multiple rotations were aligned with optimized rotation attachments: ur5, ur4, ul4
  • Spacing and diastema were closed at upper incisors

Images

Initial and final

DébutFinal
Before picture of treatment
After picture of treatment
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upper
lower
right
front
left
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upper
lower
right
front
left

Le progrès

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upper
lower
right
front
left

Radiographies

Début Final
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