Classe III
,
Mordida cruzada posterior
,
Mordida cruzada anterior
,
Open bite
,
Arcadas asimétricas
,
Desviación de la línea media maxilar
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Rotações
,
Espaçamento
,
Diastema

Distalização
,
Mesialização
,
 Nivelación de la curva de Spee
,
Extrusão
,
Intrusão
,
Expansão
,
Retração
,
Vestibularização
,
IPR
,
Fechamento do espaço
,
Pré-cirúrgico
,
Elásticos: Classe II
,
Elásticos: Classe III
Courtesy of Dr. B. Wang, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 20
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 18 meses

Número de alinhadores

  • Maxillary: 39 + 16 = 55
  • Mandibulary: 39 + 16 = 55

Aligner Wear time

  • 1 semana

Retenção

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  • Mordida cruzada anterior corrigida
  • Mordida cruzada posterior corrigida
  • Trespasse horizontal normal e sobremordida obtida
  • Melhoria significativa do trespasse horizontal
  • 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

  • Pre-surgical orthodontic treatment, upper and lower dental arch shape coordination, retract upper anterior teeth for sagittal decompensation with existed spacing and upper posterior teeth distalization.
  • Crown labial torque combined with root lingual torque was used for lower anterior teeth for sagittal decompensation with the help of power ridge design in order to prevent gingival recession, fenestration, and dehiscence during orthodontic treatment.
  • IPR was carried out to correct Bolton discrepancy in the upper and lower anterior region, lower premolar extrusion combined with anterior teeth intrusion to help level Curve of Spee, move the upper dental midline to coincide with facial midline, and move the lower dental midline to coincide with the middle of the mandible, impacted 8s were all extracted before pre-surgical orthodontics
  • Le fort I osteotomy was carried out for maxilla advancement, Bilateral sagittal split osteotomy was carried out for mandible setback and derotation.
  • Post-surgical orthodontic treatment for stabilizing maxilla, mandible relationship, and position as well as detailing the final occlusions.

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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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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