Classe I
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Espaçamento
,
Diastema

 Nivelación de la curva de Spee
,
Extrusão
,
Intrusão
,
Retração
,
IPR
,
Fechamento do espaço
,
Restaurador
,
Overtreatment
Courtesy of Dr. W. Chang, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 53
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 10 meses

Número de alinhadores

  • Maxillary: 19 + 16 = 35
  • Mandibulary: 19 + 16 = 35

Retenção

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

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

  • The anterior teeth were intruded, and the posterior teeth were extruded to decrease the OB.
  • Meanwhile, the anterior teeth were retracted to close the spaces.
  • IPR was performed between the upper anterior teeth to solve the Bolton discrepancy.
  • Also performed 0.3 mm of false IPR between 3.5/3.6 to solve the problem of loose contact points.
  • Permanent fixation of 1.1/2.1 and lower 3-3 were used for retention.
  • Composite resin fillings were placed to decrease the black triangles between the upper incisors.

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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