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

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

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 24 meses

Número de alinhadores

  • Maxillary: 40 + 17 + 14 = 71
  • Mandibulary: 40 + 17 + 24 = 81

Retenção

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Relação de Classe I obtida
  •  Relação de Classe I mantida
  • Mordida cruzada anterior corrigida
  • Mordida cruzada posterior corrigida
  • Normal overjet and overbite achieved
  •  Mordida profunda melhorada
  •  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

  • Aligner wear time: 2-weeks
  • Other results achieved: 1. With Invisalign Technique we have achieved Full Class I molar and canine bilateral with normal overjet and overbite achieved WITH A VERY CONSERVATIVE ALTERNATIVE : No surgery,no fixed appliance , No extraction,,,, just " Sequential Lower Arch Distalisation ". Lower wisdom teeth and full day compliance Aligner + Class III elastics is requiered2.Upper arch maxilary expansión
    3.Root Control attachment UR1 in order to correct tipping teeth UR1.
    4.Clincheck Esthetic Start strategy : Aligners L1 to L7 we achive partial alignment of lower anterior teeth in order to motivate the patient with short term esthetic results before starting lower arch sequential lower molar-premolar-canine and finally lower incisor distalisation.
    5.Upper arch Crowding and lateral Posterior Crossbite( left side )was resolved with Expansion. No uper IPR was requiered.
    6.Anterior Cross Bite was resolved with a combination of : Lower arch distalisation ( principal space achiever) + IPR 0.5mm lower anterior ( incisors and canines) + Upper incisor proclination.
    7.High Patient Compliance is required. Full day 22 hours aligner+class III elastics.
    8.Treatment aligner change every 14 days.
    9.Refinement aligner change every 7 days.

Images

Initial and final

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

Progresso

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
Click to compare enlarged372