Classe I
,
Mordida cruzada anterior
,
Mordida borde a borde
,
Open bite
,
Arcos estreitos
,
Mudança da linha média
,
Acavalamento
,
Rotações

Extrusão
,
Expansão
,
Retração
,
IPR
Courtesy of Dr. K. Malekian, 2016
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 47
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 22 meses

Número de alinhadores

  • Maxillary: 36 + 16 = 52
  • Mandibulary: 36 + 16 = 52

Aligner Wear time

  • Treatment aligners every 14 days/ Refinement aligner change every 7 days

Retenção

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Relação de Classe I obtida
  •  Relação de Classe I mantida
  • Orientação canina funcional em ambos os lados
  • Mordida cruzada anterior corrigida
  • Normal overjet and overbite achieved
  • Melhoria significativa do trespasse horizontal
  • Inclinação axial adequada dos incisivos
  •  Curva de Spee equilibrada
  • Arcos alinhados e coordenados
  • Alinhamento dos dois arcos através de derrotação
  • Forma de arco melhorada
  • Aesthetic smile linewas achieved
  • Todos os objetivos de tratamento foram casos alcançados
  • Os arcos harmônicos foram alcançados

Comentários

  • The total amount of IPR planned resolved upper and lower anterior crowding and simultaneously we retracted upper and lower anterior teeth to correct the dental Bi-protrusion.
  • IPR average of 0.4mm-0.5mm at mesial and distal of upper premolar,canines and incisors.
  • IPR of 0.5mm at lower premolars, canines and lower incisors except at LL5, LL4, LL3 ( 0.7mm )
  • Alignment and Retraction of upper and lower anterior helps us to achieve "relative extrusion" in order to close the anterior open bite. Once upper and lower anterior teeth are aligned we use optimized extrusion attachment for extrusion of UR2 and UL2.
  • Optimized root control attachment was used for tooth UR1 for the tipping correction (from distal to mesial movement).

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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