Classe I
,
Morso da bordo a bordo
,
Rotazioni
,
Spaziatura
,
Diastema

Retrazione
,
Chiusura degli spazi
Courtesy of Dr. R. Lie, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 35
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 19 mesi

Numero di aligner

  • Maxillary: 40 + 12 + 10 = 62
  • Mandibulary: 40 + 18 + 19 = 77

Aligner Wear time

  • 1settimana

Ritenzione

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Relazione di Classe I mantenuta
  • Guida funzionale dei canini su entrambi i lati
  • Normal overjet and overbite achieved
  • Linee mediane coincidenti
  • Inclinazione assiale corretta degli incisivi
  • Arcate allineate e coordinate
  • Miglioramento della forma dell’arcata
  • Aesthetic smile linewas achieved
  • Tutti gli obiettivi di trattamento sono stati raggiunti
  • Armonizzazione delle arcate

Commenti

  • The treatment goals were to retract the upper incisors concomitant with the closure of the excess spaces and midline diastema
  • The space closure in the upper arch was achieved through simultaneous retraction and closure of all the spaces between the incisors
  • In the lower arch, in view of the large diastema, sequential tooth movement was planned with the movement of the lower central incisors first, in order to create space on either side of the central incisors
  • Once sufficient space was created, all the spaces were simultaneously closed together with retraction of the incisors
  • The case was monitored for the need for elastics wear, although there were not required as a result of favorable space approximation and retraction of the incisors
  • the spaces at the final outcome were not entirely closed, though the Clincheck does point towards full closure of all the spaces
  • One of the main reasons that the spaces could not be closed was that the initial tooth-size/arch length discrepancy was too significant as can be observed by the initial large gaps in the anterior segments
  • Complete closure would have produced an excellent outcome for this case but the present outcome is still highly satisfactorily considering the initial position of the teeth
  • I submitted this case, in order to illustrate that with the proper staging of tooth movement, good control of tooth positions can be achieved with the Invisalign aligner system and closure of large spaces can be done
  • The gingival response was excellent as once the lower incisors were in their proper position, the gingiva seemed ’to grow back’

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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