Classe I
,
Retrognatismo mandibular
,
Deep bite
,
Arcos estreitos
,
Acavalamento
,
Rotações

Intrusão
,
Expansão
,
Retração
,
Vestibularização
,
IPR
,
Elásticos: Classe II
Courtesy of Dr V. Laoamata, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 41
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 13 meses

Número de alinhadores

  • Maxillary: 25 + 9 = 34
  • Mandibulary: 26 + 9 = 35

Aligner Wear time

  • 1 semana

Retenção

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  •  Relação de Classe I mantida
  • Orientação canina funcional em ambos os lados
  • Trespasse horizontal normal e sobremordida obtida
  •  Mordida profunda melhorada
  • Melhoria significativa da sobremordida
  • Linhas médias coincidentes
  • Inclinação axial adequada dos incisivos
  • Curve of Spee leveled
  • Arcos alinhados e coordenados
  • Alinhamento dos dois arcos através de derrotação
  • Forma de arco melhorada
  • A linha de sorriso estético foi alcançada  
  • Todos os objetivos de tratamento foram casos alcançados
  • Os arcos harmônicos foram alcançados

Comentários

  • This is a dental deep bite in the skeletal open bite configuration case.
  • Anterior intrusion without posterior extrusion was planned to correct anterior deep bite and maintain the lower facial height.
  • Since the original retroclination of the lower incisors, proclination was favorable to gain space for correction of crowding and relative intrusion to correct deep bite.
  • Severe rotation of 35 was corrected effectively by optimized rotational attachment together with using lingual button and power chain as the auxiliary mechanic.
  • 27 was intruded until completely level with 26 without undesirable buccal crown torque by Invisalign biomechanic.
  • A set of additional aligners was prescribed for detailing and settling the final occlusion.
  • Dental implant at tooth 37 will be placed soon after the COVID-19 situation has resolved.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left
InicialFinais
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finais
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