Classe III
,
Mordida cruzada anterior
,
Mordida borde a borde
,
Open bite
,
Arcadas asimétricas
,
Desviación de la línea media maxilar
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Acavalamento
,
Rotações

Elásticos: Classe III
,
Distalização
,
 Nivelación de la curva de Spee
,
Extrusão
,
Expansão
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 17
  • Gender: male
  • Invisalign Submission Option: Teen

Total Treatment Time

  • 17 meses

Número de alinhadores

  • Maxillary: 32 + 17 = 49
  • Mandibulary: 32 + 17 = 49

Aligner Wear time

  • Progressive Aligner change protocol.( 14 day -10 day-7 day). At Refinement period 7 day change aligner interval.

Results achieved

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  • Mordida cruzada anterior corrigida
  • Normal overjet and overbite achieved
  •  Mordida profunda melhorada
  •  Trespasse horizontal melhorado
  • Significant improvement ofoverbite
  • Melhoria significativa do trespasse horizontal
  • 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

Comentários

  • 1.Sequential lower arch distalisation ( tooth by tooth ) is the key factor to go from Class Molar and canine into Class I Molar and Canine.
    2.Esthetic start motivation from stages L1 to L6 prior starting sequential lower distalisation.
    3.Esthetic start motivation goal is to improve the lower anterior crowding in the first stages which patients appreciate and motivates them.
    4.Lingual bevelled attachments at lower incisors allows us extra anchorage during sequential distalisation of lower molars and premolars.
    5.Molar anchorage attachments: Once the second lower molars and first lower molars finish distalisation we place a bevelled attachment at the buccal surface of the molars increasing aligner fitness and anchorage for the upcoming premolars and lower anterior to be distalised.
    6.Upper Maxilla posterior expansion.
    7.***One of the key factor is that with lower arch distalisation we achieve overjet which is crucial in order to improve the lower incisor torque and to retract upper incisors improving esthetic inclination.The goal is to achieve 131 interincisal angle at the end of treatment.
    8.Full time 22 hour per day aligner and class III elastics is requiered.
    9.Vivera Retainer upper and lower arch (night time wear)
    10.Fixed lingual retainer 3-3 .

Images

Initial and final

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Progresso

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InicialFinais
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finais
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