Classe I
,
Arcos estreitos
,
Desviación de la línea media maxilar
,
Acavalamento
,
Rotações

 Nivelación de la curva de Spee
,
Expansão
,
Vestibularização
,
IPR
Courtesy of Dr C. Carvalho, 2021
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 22 meses

Número de alinhadores

  • Maxillary: 22 + 22 + 14 = 58
  • Mandibulary: 30 + 22 + 14 = 66

Aligner Wear time

  • 10 dias

Retenção

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

Results achieved

  •  Relação de Classe I mantida
  • Orientação canina funcional em ambos os lados
  • Trespasse horizontal normal e sobremordida obtida
  •  Mordida profunda melhorada
  • 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

  • Upper and lower expansion performed because the arches were very atresic and there was not enough space
  • Lower and upper IPR performed to gain space for the correct alignment and leveling
  • When we started the expansions, the buccalization of the anterior teeth started to happen
  • I had difficulty when aligning teeth 1.1 and 2.1 and at that moment I lost the alignment adaptation. At this point, we entered into refinement.

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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left
InicialFinais
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finais
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