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

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

Treatment Summary

Patient Information

  • Age: 9
  • Gender: female
  • Invisalign Submission Option: Teen

Total Treatment Time

  • 24 meses

Número de alinhadores

  • Maxillary: 20 + 37 + 15 = 72
  • Mandibulary: 20 + 37 + 15 = 72

Aligner Wear time

  • Progressive Aligner change interval.14 day -10 day-7 day depending on complexity of the movements and patient compliance.At refinement 7 day change interval.

Results achieved

  • Relação de Classe I obtida
  •  Relação de Classe I mantida
  • Orientação canina funcional em ambos os lados
  • Mordida cruzada anterior 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
  • Forma de arco melhorada
  • Aesthetic smile linewas achieved
  • Todos os objetivos de tratamento foram casos alcançados
  • Os arcos harmônicos foram alcançados

Comentários

  • 1. The main goal at the initial Clincheck was to expand and distal upper left molars and premolars in order to open space for canines 13,23.We successfully achieved this goal.
    2. At refinement we used class III elastics and Multi-Extrusion G4 attachments for open bite closure, and Class III elastics to achieve class I molar and canine.
    3. Geometric pontics were placed for teeth 13, 23, 25. During staging the mesio-distal width of pontics 13,23,25 increased in order to allow enough space for eruption.
    4. Canines 13, 23 erupted during treatment period with high angle rotation placed, optimized rotation attachments at refinement period
    5. Multi-Tooth Extrusion Attachments were used at upper and lower incisors and canines for open bite closure.
    6. Class III Elastics were used in order to go from class III into class I molar and canine bilateral

Images

Initial and final

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upper
lower
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front
left
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lower
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left

Progresso

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left
InicialFinais
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finais
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