Classe III
,
Morso crociato posteriore
,
Morso crociato anteriore
,
Morso da bordo a bordo
,
Deep bite
,
Arcate strette
,
Arcate asimmetriche
,
Deviazione della linea mediana mascellare
,
Deviazione della linea mediana mandibolare
,
Spostamento della linea mediana
,
Affollamento
,
Rotazioni

Distalizzazione
,
Leveling curve of Spee
,
Estrusione
,
Intrusione
,
Espansione
,
Proclinazione
,
IPR
,
Elastici: Classe III
Courtesy of Dr K. Malekian, 2018
Award 2019 Peer Review Award
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 30
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 21 mesi

Numero di aligner

  • Maxillary: 32 + 33 + 20 = 85
  • Mandibulary: 32 + 33 + 20 = 85

Aligner Wear time

  • 10 day aligner change for treatment aligner. Refinement aligner change range between 7-5 days.

Results achieved

  • Relazione di Classe I
  • Relazione di Classe I mantenuta
  • Guida funzionale dei canini su entrambi i lati
  •  Morso crociato anteriore corretto
  • Morso crociato posteriore corretto
  • Normal overjet and overbite achieved
  • Miglioramento del morso profondo
  • Miglioramento dell'overjet
  • Significant improvement ofoverbite
  • 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

  • Determine space selection was the key factor to resolve the severe crowding in the upper and lower arch
  • Staging was also a key factor: We started with high expansion of upper molars and premolars and when gained enough space we continued with arch development and retraction to extrude upper canines
  • IPR was planned at upper and lower premolars
  • Carefull IPR tracking with distalization movement of upper and lower premolars allowed space in order to align high angle rotation of canines 2.3,3.3 and 4.3 .
  • Conventional bite ramps at the buccal surface of lower four incisors were used in order to correct the deepbite
  • Class III elastics were used in order to improve the anterior/posterior relationship and turn Class III canine and molar into full class I molar and canine.
  • Proclination of upper laterals 1.2 and 2.2 in order to correct the anterior crossbite.
  • Arch coordination tool at clincheck Pro was very helpfull.
  • The maxilla and mandible arch form at stage U0-L0 were very asymmetric and required arch form coordination.
  • Lower incisor proclination and simultaneously lower canines were retracted and distalized

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progresso

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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 Finale
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