Classe III
,
Mordida cruzada posterior
,
Mordida cruzada anterior
,
Deep bite
,
Arcos estreitos
,
Mudança da linha média
,
Acavalamento
,
Rotações

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

Treatment Summary

Patient Information

  • Age: 36
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 35 months

Número de alinhadores

  • Maxillary: 42 + 33 + 20 = 95
  • Mandibulary: 46 + 33 + 20 = 99

Aligner Wear time

  • Treatment aligner change 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
  • Mordida cruzada posterior corrigida
  • Normal overjet and overbite achieved
  •  Mordida profunda melhorada
  •  Trespasse horizontal melhorado
  • Significant improvement ofoverbite
  • Melhoria significativa do trespasse horizontal
  • 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

  • Upper arch posterior bilateral expansion in order to correct the lateral cross-bite on the right side.
  • Upper Incisor proclination.
  • Conventional lingual bite ramps at lingual of UR1 and UL2 helped to intrude upper central incisors.
  • Aesthetic Start of lower anterior from L1 to L7. The patient achieves partial lower anterior alignment so becomes motivated and the compliance in wearing full time 22 hours aligners+class III elastics is guaranteed.
  • Lower Second Molar distalisation measurements : 3.4 mm distalisation of LR7 and 3.2 mm distalisation of LL7.
  • Sequential lower arch distalisation : " When the lower second molar has been distalized 50% of the total distalisation distance then the first Lower molars start to distalize ( this sequence is applied for lower second premolars, first premolars, canines and lower incisors )
  • Full time 22 hours Class III elastics + Aligner wear during total treatment time.
  • Intrusion of teeth UR1, UL1 was done in order to level upper incisor gingival margins and also to leave space for composite reconstruction of teeth UR1, UL1
  • Post Invisalign bleaching and composite reconstruction of incisal edges of teeth UR1, UL1 was done by our prosthodontist.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progresso

Click to compare enlarged
upper placeholder
lower
right
front
left
InicialFinais
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiografías

Inicial Finais
Click to compare enlarged396