Classe III
,
Mordida cruzada anterior
,
Aumento do trespasse horizontal
,
Open bite
,
Mudança da linha média
,
Acavalamento
,
Rotações

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

Treatment Summary

Patient Information

  • Age: 19
  • Gender: male
  • Invisalign Submission Option: Full

Total Treatment Time

  • 25 months

Número de alinhadores

  • Maxillary: 40 + 18 = 58
  • Mandibulary: 40 + 18 = 58

Aligner Wear time

  • Treatment aligner cahnghae 14 days Refinement aligner change 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
  •  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

  • Aesthetic Start in the lower arch from L1-L9. The purpose is to achieve partial alignment of lower anterior teeth in order to motivate the patient so during the course of lower distalisation from L9-L40 there is more compliance wearing full time 22 hours aligners and class III elastics.
  • Expansion of upper maxilla and simultaneous retraction of UL1.
  • Lower distalisation as main strategy technique in order to solve the dental class III molar and canine into class I molar and canine.
  • Precision cuts at UR6 and UL6 for Class III elastics.
  • Full time Class III and aligner wear during total treatment time.
  • Once the lower 2nd molars stop distalisation at stage 16, beveled attachment is placed at the buccal surface in order to avoid anchorage loss in the lower arch.
    7.Once the lower 1st molars ,2nd and 1st premolars stop distalisation ...at that stage beveled attachment is placed at the buccal Surface in order to avoid anchorage loss in the lower arch.

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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