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

Extrusão
,
Distalização
,
 Nivelación de la curva de Spee
,
Retração
,
IPR
,
Fechamento do espaço
Courtesy of Dr E. Rothier, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 64
  • Gender: male
  • Invisalign Submission Option: Full

Total Treatment Time

  • 11 meses

Número de alinhadores

  • Maxillary: 44
  • Mandibulary: 44

Aligner Wear time

  • 1 semana

Results achieved

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

Comentários

  • Although tooth 4.6 is an implant, we decided to avoid movement in some other teeth: 4.7, 3.7, 3.6, 3.5, 3.4, 3.3, 1.6, 1.7, 2.4, 2.5, 2.6 and 2.7.
  • The 4.6 implant was used as an anchorage for the retraction of the right and lower anterior teeth.
  • The anterior midline deviation was corrected using asymmetric interproximal reduction keeping the upper midline in position and moving the lower midline right, so we avoided the use of interproximal elastics in this case.
  • The lower anterior interproximal reduction was used to remove heavy anterior contact points and correct the edge to edge bite.
  • Despite having a diastema between some tooth (4.6 and 4.5 // 4.5 and 4.4 // 4.4 and 4.3) we requested an 0.3 mm IPR.
  • The goal was to reach an overcorrection to close the diastema, and ensure a stronger point of contact.

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InicialFinais
Before picture of treatment
After picture of treatment
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Radiografías

Inicial
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