Intrusão
,
Expansão
,
IPR
,
Distilation
,
Elastics
Courtesy of Dr K. Spathoulas, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 55
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 28 meses

Número de alinhadores

  • Maxillary: 50 + 33 + 17 + 10 = 110
  • Mandibulary: 50 + 33 + 17 + 10 = 110

Aligner Wear time

  • 1 semana

Retenção

  • Maxillary: Fixed/Blonded
  • Mandibular: Fixed/Blonded

Results achieved

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

Comentários

  • I achieved the necessary space to align both dental arches with control expansion on the lateral segments.
  • I used an anchorage to assist the expansion of the last molars on both upper and lower arches.
  • I slightly constricted them with added lingual root torque on the lower molars, which made more predictable the expansion mesial of the last molars.
  • The expansion was done mainly by applying buccal crown torque on canines, premolars, and first molars, which helped me to avoid bodily extensions that could lead to unwanted gum recessions.
  • IPR was done on the lower front teeth to compensate the Bolton discrepant, which resulted from two premolar extractions on the upper arch and one on the lower arch.
  • Cls II elastics were used to achieve good interdigitation on the lateral segments.

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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