Classe I
,
Classe III
,
Aumento do trespasse horizontal
,
Deep bite
,
Arcos estreitos
,
Mudança da linha média
,
Acavalamento
,
Rotações

Intrusão
,
Expansão
,
IPR
,
Elásticos: Classe III
Courtesy of Dr. K. Malekian, 2016
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: male
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 27 meses

Número de alinhadores

  • Maxillary: 45 + 10 + 11 = 66
  • Mandibulary: 45 + 10 + 11 = 66

Retenção

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Relação de Classe I obtida
  •  Relação de Classe I mantida
  • Orientação canina funcional em ambos os lados
  • Normal overjet and overbite achieved
  •  Mordida profunda melhorada
  •  Trespasse horizontal melhorado
  • Significant improvement ofoverbite
  • Linhas médias coincidentes
  • 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

  • Staging Strategy : Since Teeth UR1and UR2 had a lack of space ( 45 degrees rotaion and 3mm overlap both tooth UR1 and UR2) I planned with my technitian to start CC at U1 to U5 Upper posterior Expansion and NOT TO MOVE TOOTH UR1,UR2 FROM U1 TO U5.AT STAGE U5 we have achieved some space with expansión as can be checked at the Clincheck and now we can start to rotate and align teeth.
  • The most difficult part of these treatments are both Clincheck planning and IPR and attachment tracking.It requieres a close tracking of the orthodontist.
  • Conventional Lingual bite ramps at lingual of UR1,UR2,UL1,UL2 for Upper anterior intrusión. Overcorrection of the Deep Bite and also overcorrection of the High tipping angle of UR1,LR2 is required.
  • No proclination of upper incisors was planned due to the profile and upper lip.
  • Simultaneous Posterior Teeth Expansion and Torque was planned at Clincheck.
  • Rotation of UR2,UR1 was planned at normal velocity and simultaneous Tipping movement was done at UR1,UR2 at slow velocity.
  • Treatment aligners change every 14 days.
  • Refinement aligner change every 7 days.

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InicialFinais
Before picture of treatment
After picture of treatment
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Radiografías

Inicial
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