Classe I
,
Arcate asimmetriche
,
Deviazione della linea mediana mandibolare
,
Spostamento della linea mediana
,
Affollamento
,
Rotazioni
,
Spaziatura

Mesializzazione
,
 Livellamento della curva di Spee
,
Estrusione
,
Intrusione
,
Espansione
,
Retrazione
,
First premolar extraction
,
IPR
,
Chiusura degli spazi
,
Elastici: Classe II
,
Elastics: Class II in Additional Aligners
,
Elastici: Classe III
,
Elastici: Verticale
,
Estrazione
Courtesy of Dr B. Wang, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 29 mesi

Numero di aligner

  • Maxillary: 76 + 30 + 24 = 130
  • Mandibulary: 76 + 30 + 24 = 130

Aligner Wear time

  • 1settimana

Ritenzione

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Relazione di Classe I mantenuta
  • Guida funzionale dei canini su entrambi i lati
  • Overjet e overbite normali
  • Linee mediane coincidenti
  • Inclinazione assiale corretta degli incisivi
  • Curve of Spee leveled
  • Arcate allineate e coordinate
  • Allineamento di entrambe le arcate attraverso la derotazione
  • Miglioramento della forma dell’arcata
  • Linea del sorriso estetica  
  • Tutti gli obiettivi di trattamento sono stati raggiunti
  • Armonizzazione delle arcate

Commenti

1. Both upper and lower 1st premolars as well as 18, 28 and 38 were extracted and maximum anchorage was designed to help correct skeletal bimaxillary protrusion
2. 38 was used to replace 37, segmental archwire technique was used for a short time during 38 mesialization and space closure between 37 and 38
3. Power ridge design was used in both upper and lower anterior teeth to help prevent periodontal iatrogenic sequelae such as further gingival recession and additional bone loss during orthodontic treatment
4. Premolars extrusion combined with anterior teeth intrusion to help level the curve of spee
5. Both upper and lower dental arch were reshaped and coordinated
6. IPR was performed to help correct Bloton discrepancy in upper and lower anterior region as well as reduce black triangle in upper and lower anterior teeth
7. Different kinds of elastics were used to help anchorage control and final occlusion detailing

Images

Initial and final

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upper
lower
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front
left
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upper
lower
right
front
left

Progresso

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lower
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front
left
InizialeFinale
Before picture of treatment
After picture of treatment
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Le radiografie

Iniziale Finale
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