Classe III, Mordida cruzada posterior, Mordida cruzada anterior, Mordida borde a borde, Open bite, Arcos estreitos, 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
, Vestibularização
, IPR
, Tratamento da Fase II
Courtesy of Dr K. Malekian,
2018
Treatment Summary
Patient Information
- Age: 33
- Gender: male
- Invisalign Submission Option: Full
Total Treatment Time
- 23 meses
Número de alinhadores
- Maxillary: 31 + 16 + 15 = 62
- Mandibulary: 31 + 17 + 15 = 63
Aligner Wear time
- Progressive Aligner change 14 day-10 day-7 day interval based on complexity of movements and patient compliance.At refinement 7 day aligner change interval.
Retenção
- Maxillary: n
Results achieved
- Relação de Classe I obtida
- Orientação canina funcional em ambos os lados
- Mordida cruzada anterior corrigida
- Mordida cruzada posterior corrigida
- Normal overjet and overbite achieved
- Trespasse horizontal melhorado
- Significant improvement ofoverbite
- 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
-
- 1. Sequential Lower distalization protocol with aesthetic start motivation.
2. Lower arch sequential distalization permits us to achieve space in the lower arch and go from Class III molar and canine into Class I molar and canine.
3. Lower arch sequential distalization allowsus to obtain overjet in order to correct the anterior crossbite and to torque lower incisors lingually.
4. Lower arch sequential distalizationallows us to achieve over-jet in order to correct the upper and lower incisor angulation and achieve 131 degrees final interincisal angle.
5. From L1 to L6 we achieve partial lower anterior alignment which motivates the patient in order to have high compliance during the period of 8-10 months of sequential lower arch distalization.
6. Upper Arch Posterior Expansion in order to correct lateral cross-bite.
7. Upper Anterior proclination in order to correct anterior cross-bite.
8. Full time aligner and class III elastics ( 22 hours/day)
9. Root Control Attachment Upper right central (11): Tipping root distally
- 1. Sequential Lower distalization protocol with aesthetic start motivation.
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