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

Distalização
,
Extrusão
,
Expansão
,
Retração
,
Elásticos: Vertical
Courtesy of Dr. K. Malekian, 2016
Award 2017 Peer Review Award
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: female
  • Invisalign Treatment Option: Teen

Total Treatment Time

  • 51 months

Número de alinhadores

  • Maxillary: 50 + 52 + 20 + 16 = 138
  • Mandibulary: 50 + 25 + 25 + 16 = 116

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
  •  Trespasse horizontal melhorado
  • 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

  • Treatment aligner change every 14 days. Refinement aligner change every 7 days
  • This is probably one of the most difficult and challenging treatments I have done. The patient father is a doctor and before starting treatment we talked that this treatment required:
  • 1.Extraction of upper premolars in order to align highly erupted upper canines.We wanted to avoid extractions since it was not a good solution for the final profile and upper lip of the patient.
    2.The 5mm anterior open bite required surgery and the father obviously wanted to avoid the surgery for his daughter.
  • The treatment was long but the results are excellent regarding the starting point. I used all CC strategies possible in order to achieve this result (Upper Sequential distalisation of 4-5mm of UR7,UL7).The patient compliance during the total treatment time has been excellent.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progresso

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

Inicial
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