Classe I
,
Arcadas asimétricas
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Acavalamento
,
Rotações
,
Espaçamento

Mesialização
,
 Nivelación de la curva de Spee
,
Extrusão
,
Intrusão
,
Expansão
,
Retração
,
First premolar extraction
,
IPR
,
Fechamento do espaço
,
Elásticos: Classe II
,
Elastics: Class II in Additional Aligners
,
Elásticos: Classe III
,
Elásticos: Vertical
,
Extração
Courtesy of Dr B. Wang, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 29 meses

Número de alinhadores

  • Maxillary: 76 + 30 + 24 = 130
  • Mandibulary: 76 + 30 + 24 = 130

Aligner Wear time

  • 1 semana

Retenção

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

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

1. Both upper and lower 1st premolars as well as 18, 28 and 38 were extracted and maximum anchorage was designed to help correct skeletal bimaxillary protrusion
2. 38 was used to replace 37, segmental archwire technique was used for a short time during 38 mesialization and space closure between 37 and 38
3. Power ridge design was used in both upper and lower anterior teeth to help prevent periodontal iatrogenic sequelae such as further gingival recession and additional bone loss during orthodontic treatment
4. Premolars extrusion combined with anterior teeth intrusion to help level the curve of spee
5. Both upper and lower dental arch were reshaped and coordinated
6. IPR was performed to help correct Bloton discrepancy in upper and lower anterior region as well as reduce black triangle in upper and lower anterior teeth
7. Different kinds of elastics were used to help anchorage control and final occlusion detailing

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

Inicial Finais
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