Classe I
,
Acavalamento

Distalização
,
Mesialização
,
 Nivelación de la curva de Spee
,
Intrusão
,
Expansão
,
Retração
,
First premolar extraction
,
IPR
,
Elásticos: Classe II
,
Elásticos: Vertical
Courtesy of Dr. T. Minamidate, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 18 meses

Número de alinhadores

  • Maxillary: 29 + 18 + 8 = 55
  • Mandibulary: 29 + 18 + 8 = 55

Aligner Wear time

  • 1 semana

Retenção

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Relação de Classe I obtida
  •  Relação de Classe II mantida
  • Orientação canina funcional em ambos os lados
  • Trespasse horizontal normal e sobremordida obtida
  •  Mordida profunda melhorada
  •  Trespasse horizontal melhorado
  • 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

  • There were a few skeletal abnormalities, but the arch length discrepancy was large with severe crowding.
  • The gingival biotype was also thin, and it was determined that it would be difficult to expand the arch and align the teeth without premolar extraction. Otherwise, the risk of gingival recession would be high.
  • Regarding the molar relationship, 1.4 teeth were extracted on the left side and finished Angle Class II, while the left side was kept in Angle Class I.
  • The canine relationship achieved was Class I bilaterally.
  • The midline was matched, the smile line greatly improved, and tight occlusion was achieved throughout the whole arch.

Images

Initial and final

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upper
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front
left
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upper
lower
right
front
left

Progresso

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

Inicial Finais
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