Classe I
,
Aumento dell'overjet
,
Deep bite
,
Arcate strette
,
Deviazione della linea mediana mascellare
,
Deviazione della linea mediana mandibolare
,
Spostamento della linea mediana
,
Affollamento
,
Rotazioni
,
Pre-protesico

Distalizzazione
,
Mesializzazione
,
 Livellamento della curva di Spee
,
Intrusione
,
Espansione
,
Proclinazione
,
IPR
,
Protesico
,
Impianti
Courtesy of Dr M. Pedernera, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 47
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 17 mesi

Numero di aligner

  • Maxillary: 28 + 25 + 14 = 67
  • Mandibulary: 28 + 25 + 14 = 67

Aligner Wear time

  • 2 weeks at the beggining of the treatment and every 1 week until the end

Results achieved

  • Relazione di Classe I
  • Guida funzionale dei canini su entrambi i lati
  • Normal overjet and overbite achieved
  • Linee mediane coincidenti
  • Curva di Spee livellata
  • Arcate allineate e coordinate
  • Miglioramento della forma dell’arcata
  • Aesthetic smile linewas achieved
  • Tutti gli obiettivi di trattamento sono stati raggiunti

Commenti

  • This case was challenging taking into account the amount of mm of overbite
  • The main issue was to solve the crowding of the lower teeth and creating at least 7 mm of space for the implant of 1.5
  • The treatment plan was to expand both arches
  • In the first Clincheck I requested to mesialize the 1.4 and 1.3, adding IPR to the upper left quadrant in order to obtain space for the mesialization and also to center the upper mid-line to the left
  • Because the excess of Bolton 6 in the lower arch I applied IPR to compensate this
  • During the treatment 2.8 was extracted because of premature contacts with extruded 3.8
  • Patient was advised to extract all of them, but at this time, the patient is not ready to consent

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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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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