Intrusão
,
Expansão
,
IPR
,
Fechamento do espaço
,
Distilation
,
Elastics
Courtesy of Dr D. Raickovic, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 29
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 32 meses

Número de alinhadores

  • Maxillary: 71 + 3 + 13 = 87
  • Mandibulary: 60

Aligner Wear time

  • 1 semana

Retenção

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • Arcos alinhados e coordenados
  • Relação de Classe I obtida
  • Functional overjet and overbite
  • Midlines aligned

Comentários

  • I used semi-sequential distalization 50% to correct the class 2 bite on the left side.
  • Reinforced the anchorage by placing palatal attachments on upper central incisors. Also, I used the class II elastics to help the aligner do the required full class distalization.
  • Regarding severe rotation of UR2 I used careful staging of movements + incorporating proclination with half-derotation mesial-out and then combined retrusion with distal-in rotation. That way I increased the predictability of a severe rotation.
  • After the whole left quadrant settled into a full class I continued with retrusion of the upper incisors and canines back and to the left in order to correct the upper midline to meet the lower midline. At the same time, I included the expansion of molars and premolars which biomechanically enhanced the retrusion and increased predictability.

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
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