Class I
,
Open bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Crowding

Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
IPR
Courtesy of Dr. M. Pedernera, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 39
  • Gender: female
  • Invisalign Submission Option: Lite

Total Treatment Time

  • 9개월

Number of aligners

  • Maxillary: 14 + 12 = 26
  • Mandibulary: 14 + 12 = 26

Aligner Wear time

  • 2주

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

코멘트

  • The anterior open bite, anterior proclination combined with narrow arches and crowding was a tough basically because not only the alignement and expansión could make the anterior open bite to get worse, I combined a mild expansion on the upper and lower arches, with anterior and posterior IPR in the lower arch to be able to solve the problem of the crowding without the need of proclination.
  • The first set of aligners were made after taking PVS impressions and the following sets after scanning with iTero Element.
    The first set of aligners were changed every 2 weeks but in the refinement stage the patient was asked to do it every week.
  • The 1.2 and 2.2 teeth were reshaped wearing just a small part of the incisal edge to improve their shape

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

진행

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upper
lower
right
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left
치료 전 초기최종
Before picture of treatment
After picture of treatment
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방사선 사진

치료 전 초기 최종
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