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

Elastici: Classe III
,
Distalizzazione
,
Mesializzazione
,
Leveling curve of Spee
,
Intrusione
,
Espansione
,
Retrazione
,
Proclinazione
,
IPR
,
Trattamento di fase II
Courtesy of Dr. K. Malekian, 2019
Before picture of treatment

Trattamento In primo piano

Dr. K. Malekian

We would like to thank Dr. Malekian for this Class III case submission, that provides an almost step by step insight into the excellent treatment planning with a great treatment end result.

Dr. K. Malekian

Treatment Summary

Patient Information

  • Age: 31
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 20 mesi

Numero di aligner

  • Maxillary: 62 + 17 = 79
  • Mandibulary: 62 + 17 = 79

Aligner Wear time

  • Progressive Aligner Change: 14 Days- 10 Days- 7 Days.

Ritenzione

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

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
  • Curve of Spee leveled
  • 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

  • Maxilla arch expansion
  • Mesialization of upper arch: molars, premolars, canine
  • Sequential lower arch distalization: molars, premolars, canine & incisors ( total distalization 3.25mm )
  • Full-time class iii elastics wear
  • Full-time aligner wear
  • Sequential attachments at lower molars: at the stage, the lower molars finish distalization a 4mm beveled attachment is placed at the buccal surface of the lower molars to increase anchorage
  • Lingual beveled attachments placed at the lingual surface of lower incisors
  • Retraction and simultaneous lingual root torque of lower incisors during lower arch sequential distalization
  • The lower reversed curve of Spee flattened
  • Multiple rotations were aligned with optimized rotation attachments: ur5, ur4, ul4
  • Spacing and diastema were closed at upper incisors

Images

Initial and final

InizialeFinale
Before picture of treatment
After picture of treatment
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upper
lower
right
front
left
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upper
lower
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front
left

Progresso

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upper
lower
right
front
left

Le radiografie

Iniziale Finale
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