Classe I
,
Morso profondo
,
Arcate strette
,
Affollamento
,
Rotazioni

Leveling curve of Spee
,
Estrusione
,
Intrusione
,
Espansione
,
Proclinazione

Informazioni sul trattamento

  • Età: 13
  • Sesso: maschio
  • Opzione di trattamento Invisalign: Invisalign Teen

Riepilogo diagnostico

  • Classe I
  • Morso profondo
  • Arcate strette
  • Affollamento
  • Rotazioni

Use of:

  • Espansione
  • Estrusione
  • Intrusione
  •  Livellamento della curva di Spee
  • Proclinazione
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Optimized multiplane (G4) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 3.4 (LL4)
  • Optimized deepbite attachments activated for premolar extrusion (G5) on Buccal 1.5 (UR5), Buccal 3.4 (LL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 2.4 (UL4)
  • Optimized support attachment (G7) on Buccal 1.2 (UR2)
Courtesy of Dr M. Pedernera 2019

Fotografie

Click to compare enlarged
upper
Iniziale
lower
right
front
left
Click to compare enlarged
upper
Finale
lower
right
front
left
Click to compare enlarged
upper
Progresso
lower
right
front
left

Le radiografie

Piano di trattamento ClinCheck

video anterior
video right-left
video upper-lower
Download ADF files
Iniziale

Sommario del trattamento

Risultati ottenuti

  • Relazione di Classe I mantenuta
  • Guida funzionale dei canini su entrambi i lati
  • Overjet e overbite normali
  • Linee mediane coincidenti
  • Curve of Spee leveled
  • Arcate allineate e coordinate
  • Miglioramento della forma dell’arcata
  • Linea del sorriso estetica 
  • Tutti gli obiettivi di trattamento sono stati raggiunti

Tempo totale di trattamento

  • 13 mesi

Numero di aligner

  • Maxillary: 44 + 24 + 13 = 81
  • Mandibular: 44 + 24 + 13 = 81

Tempo di utilizzo degli aligner

  • 1settimana

Commenti

  • Treatment plan was to expand both arches to improve the narrow arches
  • Procline the upper and lower incisors
  • The overbite was improved by the virtual intrusion due to proclination of the anterior teeth
  • The most challenging issue to be solved was the rotation of 4.5 that had to be rotated more than 52 degrees
  • I planned to do this rotation with the help of a button placed on lingual of 4.6 and lingual of 4.5 which was very efficient
  • In my opinion what was important in this case is taking the bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position, this helped to reduce the number of aligners for the first stage