Classe I
,
Classe III
,
Aumento dell'overjet
,
Deep bite
,
Arcate strette
,
Spostamento della linea mediana
,
Affollamento
,
Rotazioni

Intrusione
,
Espansione
,
IPR
,
Elastici: Classe III
Courtesy of Dr. K. Malekian, 2016
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: male
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 27 mesi

Numero di aligner

  • Maxillary: 45 + 10 + 11 = 66
  • Mandibulary: 45 + 10 + 11 = 66

Ritenzione

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Relazione di Classe I
  • Relazione di Classe I mantenuta
  • Guida funzionale dei canini su entrambi i lati
  • Normal overjet and overbite achieved
  • Miglioramento del morso profondo
  • Miglioramento dell'overjet
  • Significant improvement ofoverbite
  • Linee mediane coincidenti
  • Inclinazione assiale corretta degli incisivi
  • Curva di Spee livellata
  • Arcate allineate e coordinate
  • Allineamento di entrambe le arcate attraverso la derotazione
  • Miglioramento della forma dell’arcata
  • Aesthetic smile linewas achieved
  • Tutti gli obiettivi di trattamento sono stati raggiunti
  • Armonizzazione delle arcate

Commenti

  • Staging Strategy : Since Teeth UR1and UR2 had a lack of space ( 45 degrees rotaion and 3mm overlap both tooth UR1 and UR2) I planned with my technitian to start CC at U1 to U5 Upper posterior Expansion and NOT TO MOVE TOOTH UR1,UR2 FROM U1 TO U5.AT STAGE U5 we have achieved some space with expansión as can be checked at the Clincheck and now we can start to rotate and align teeth.
  • The most difficult part of these treatments are both Clincheck planning and IPR and attachment tracking.It requieres a close tracking of the orthodontist.
  • Conventional Lingual bite ramps at lingual of UR1,UR2,UL1,UL2 for Upper anterior intrusión. Overcorrection of the Deep Bite and also overcorrection of the High tipping angle of UR1,LR2 is required.
  • No proclination of upper incisors was planned due to the profile and upper lip.
  • Simultaneous Posterior Teeth Expansion and Torque was planned at Clincheck.
  • Rotation of UR2,UR1 was planned at normal velocity and simultaneous Tipping movement was done at UR1,UR2 at slow velocity.
  • Treatment aligners change every 14 days.
  • Refinement aligner change every 7 days.

Images

Initial and final

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

Iniziale
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