Classe I
,
Classe III
,
Morso crociato anteriore
,
Spostamento della linea mediana

Estrusione
,
Altra estrazione
,
IPR pre-PVS

Informazioni sul trattamento

  • Età: 52
  • Sesso: F
  • Opzione di trattamento Invisalign: Full

Chief Concern

  • Correction of anterior cross bite without need of surgery to relieve CMD problems

Riepilogo diagnostico

  • Right side molar Class I and Right side Canine Cl III due to previous premolar extraction
  • Left side molar and canine Cl II due to previous premolar extraction
  • Anterior crossbite at  2.2 (UL2)
  • Mandibular midline deviation to left 3 mms

Treatment Plan and ClinCheck Analysis

  • Obtain a molar Class I relationship on both side, a class I canine relationship on right side and canine class II relationship on left side
  • Correction of crossbite
  • Align arches
  • Extraction of 4.4 (LR4)  before impression to create space
  • Shift mandibular midline to right 2 mms

Use of:

    • Espansione
    • IPR pre-PVS
    • Pre-PVS Extraction
    • Power Ridge Feature on the 2.2(UL2)

 

Courtesy of Dr. Windsheimer 2012

Fotografie

Click to compare enlarged
upper
Iniziale
lower
right
front
left
Click to compare enlarged
upper
Finale
lower
right
front
left

Le radiografie

Piano di trattamento ClinCheck

video anterior
video right-left
video upper-lower
Download ADF files
Iniziale
Refinement

Sommario del trattamento

Results Achieved:

  • Class I relationship on molars and right canine as programmed
  • Guida funzionale dei canini su entrambi i lati
  • Midlines successfully improved
  • Arches were aligned and coordinated by rotation

Total treatment time:

  • 11 mesi

Number of Aligners:

  • Maxillary: 20+10=30
  • Mandibular: 20+10=30

Comments:

  • Refinement was made with new photos and new impressions
  • Minimal IPR was used for this treatment

Retention:

  • Maxillary: Fixed retainer
  • Mandibular: Fixed retainer