Classe III, Mordida cruzada posterior, Mordida cruzada anterior, Mordida borde a borde, Open bite, Arcos estreitos, Arcadas asimétricas, Desviación de la línea media maxilar, Desviación de la línea media mandibular, Mudança da linha média, Acavalamento, Rotações
Nivelación de la curva de Spee
, Extrusão
, Intrusão
, Expansão
, Retração
, IPR
, Tratamento da Fase II
, Elásticos: Classe III
Courtesy of Dr. K. Malekian
,
2023
Treatment Summary
Patient Information
- Age: 33
- Gender: male
- Invisalign Submission Option: Invisalign Comprehensive
Número de alinhadores
- Maxillary: 32 + 13 = 45
- Mandibulary: 32 + 13 = 45
Aligner Wear time
- Sequential Aligner Change Interval 14 Days-10 Days-7 Days.
Retenção
- Maxillary: Vivera retainer
- Mandibular: Vivera retainer
Results achieved
- Relação de Classe I obtida
- Relação de Classe I mantida
- Orientação canina funcional em ambos os lados
- Mordida cruzada posterior corrigida
- Trespasse horizontal normal e sobremordida obtida
- Trespasse horizontal melhorado
- Melhoria significativa da sobremordida
- 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
- Maxillary expansion with upper teeth alignment and arch development was performed.
- The upper first molar crossbite was corrected with maxillary expansion.
- Upper incisor retraction was planned during upper arch expansion to correct the excessively proclined upper incisors.
- During upper incisor retraction, lingual root torque of the upper incisors was performed.
- Posterior IPR was planned for the lower premolars and canines to achieve space for retraction of severely rotated and mesially tipped lower canines.
- Lower arch IPR at lower incisors, canines, and premolars permitted space to retract lower incisors to achieve overjet.
- G4 multitooth extrusion attachments were planned to extrude upper incisors and canines to close the anterior open bite.
- Full-time wear of aligners (22 hours) with Class III elastics was used to correct the class III molar and canine and achieve class I molar and canine.
- G3 optimized rotation attachments helped to correct the severe rotation of lower canines.
- Tipping of lower central incisors was planned.
- Power ridges at lower incisors helped to correct lingual root control direction.
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