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

Distalizzazione
,
Estrusione
,
Espansione
,
Retrazione
,
Elastici: Verticale
Courtesy of Dr. K. Malekian, 2016
Award 2017 Peer Review Award
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: female
  • Invisalign Treatment Option: Teen

Total Treatment Time

  • 51 months

Numero di aligner

  • Maxillary: 50 + 52 + 20 + 16 = 138
  • Mandibulary: 50 + 25 + 25 + 16 = 116

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 dell'overjet
  • Miglioramento significativo dell'overjet
  • 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

  • Treatment aligner change every 14 days. Refinement aligner change every 7 days
  • This is probably one of the most difficult and challenging treatments I have done. The patient father is a doctor and before starting treatment we talked that this treatment required:
  • 1.Extraction of upper premolars in order to align highly erupted upper canines.We wanted to avoid extractions since it was not a good solution for the final profile and upper lip of the patient.
    2.The 5mm anterior open bite required surgery and the father obviously wanted to avoid the surgery for his daughter.
  • The treatment was long but the results are excellent regarding the starting point. I used all CC strategies possible in order to achieve this result (Upper Sequential distalisation of 4-5mm of UR7,UL7).The patient compliance during the total treatment time has been excellent.

Images

Initial and final

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

Progresso

right
front
left
InizialeFinale
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Le radiografie

Iniziale
Click to compare enlarged396