Classe II Div 1
,
Mordida cruzada posterior
,
Mordida cruzada anterior
,
Mordida borde a borde
,
Aumento do trespasse horizontal
,
Arcos estreitos
,
Arcadas asimétricas
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Acavalamento
,
Rotações
,
Pré-Restaurador

Tratamento da Fase II
,
Distalização
,
 Nivelación de la curva de Spee
,
Extrusão
,
Expansão
,
Vestibularização
,
IPR
,
Implantes
,
Elásticos: Classe II
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 46
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 23 meses

Número de alinhadores

  • Maxillary: 41 + 19 + 18 = 78
  • Mandibulary: 41 + 19 + 18 = 78

Aligner Wear time

  • Progressive Interval Aligner change 14 days- 10 days- 7 days. At refinement Aligner interval change is 7 days.

Results achieved

  • Relação de Classe I obtida
  •  Relação de Classe I mantida
  • Orientação canina funcional em ambos os lados
  • Mordida cruzada anterior corrigida
  • Mordida cruzada posterior corrigida
  • Normal overjet and overbite achieved
  • 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
  • Todos os objetivos de tratamento foram casos alcançados
  • Os arcos harmônicos foram alcançados

Comentários

  • 1. Clincheck Planning strategy for high canine 23 : Due to anatomic high buccal position with severe lack of space we planned to move lingually canine 23 as soon as we achieved space with Maxilla posterior area expansion.2. Posterior Expansion of upper premolar and molar area in order to correct the posterior cross bite on the right side.3. Canine 43 with severe rotation and trapped between adjacent teeth 32 and 43 : Clincheck planning was based on distalization of adjacent premolars 44,45 distally with IPR control Clincheck protocol and tracking in order to achieve the necessary space in order to allow canine 43 to rotate and align.

    4. Tracking of severe rotations of teeth 31 and 43 was one of the key points.

    5. Open Bite closure : Once we achieved developed arch form and alignment and leveling of upper and lower anterior teeth we placed Multi- Tooth Extrusion attachment (G4) at upper incisors and canines.

     

Images

Initial and final

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upper
lower
right
front
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upper
lower
right
front
left

Progresso

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lower
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front
left
InicialFinais
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finais
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