Deep bite
,
Desviación de la línea media maxilar
,
Espaçamento
,
Diastema

Leveling curve of Spee
,
Extrusão
,
Intrusão
,
Retração
,
Fechamento do espaço
Courtesy of Dr M. Roennau Lemos Rinaldi, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

Número de alinhadores

  • Maxillary: 23 + 11 + 11 = 45
  • Mandibulary: 19 + 22 + 11 = 52

Aligner Wear time

  • 1 semana

Retenção

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  •  Relação de Classe I mantida
  • Orientação canina funcional em ambos os lados
  •  Mordida profunda melhorada
  • Melhoria significativa da sobremordida
  • Melhoria significativa do trespasse horizontal
  • Linhas médias coincidentes
  • Inclinação axial adequada dos incisivos
  • Curve of Spee leveled
  • Arcos alinhados e coordenados
  • Forma de arco melhorada

Comentários

The leveling of the curve of Spee was obtained with the intrusion of the upper and lower incisors, and extrusion of premolars.
Bite Ramps planned only in 1.3 and 2.3 to facilitate the extrusion of premolars during the first set of aligners.The excessive overjet made impossible to apply Bite Ramps on upper incisors. At the final of the first set of aligners, the overjet was improved and the midline correction achieved.
The second set was planned with Bite Ramps in anterior teeth and the use of vertical elastics for posterior extrusion. At the final of this set a better overbite was achieved.
The final set of aligners closed residual spaces, and Class II elastics were prescribed to potencialize the action of Power Ridges.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
lower
front
left

Progresso

Click to compare enlarged
upper
lower
right
front
left
InicialFinais
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiografías

Inicial Finais
Click to compare enlarged398
Click to compare enlarged392