Classe I
,
Open bite
,
Arcos estreitos
,
Arcadas asimétricas
,
Desviación de la línea media maxilar
,
Desviación de la línea media mandibular
,
Acavalamento

Extrusão
,
Intrusão
,
Expansão
,
Vestibularização
,
IPR
Courtesy of Dr. M. Pedernera, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 39
  • Gender: female
  • Invisalign Submission Option: Lite

Total Treatment Time

  • 9 meses

Número de alinhadores

  • Maxillary: 14 + 12 = 26
  • Mandibulary: 14 + 12 = 26

Aligner Wear time

  • 2 semanas

Retenção

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  • Normal overjet and overbite achieved
  • Linhas médias coincidentes
  •  Curva de Spee equilibrada
  • Arcos alinhados e coordenados
  • Forma de arco melhorada
  • Aesthetic smile linewas achieved
  • Todos os objetivos de tratamento foram casos alcançados
  • Os arcos harmônicos foram alcançados

Comentários

  • The anterior open bite, anterior proclination combined with narrow arches and crowding was a tough basically because not only the alignement and expansión could make the anterior open bite to get worse, I combined a mild expansion on the upper and lower arches, with anterior and posterior IPR in the lower arch to be able to solve the problem of the crowding without the need of proclination.
  • The first set of aligners were made after taking PVS impressions and the following sets after scanning with iTero Element.
    The first set of aligners were changed every 2 weeks but in the refinement stage the patient was asked to do it every week.
  • The 1.2 and 2.2 teeth were reshaped wearing just a small part of the incisal edge to improve their shape

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
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
Click to compare enlarged390