Classe I
,
Mordida cruzada anterior
,
Mordida borde a borde
,
Arcadas asimétricas
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Acavalamento
,
Rotações
,
Espaçamento
,
Pré-Restaurador

Elásticos: Classe II
,
 Nivelación de la curva de Spee
,
Intrusão
,
Retração
,
Outra extração
,
IPR
,
Fechamento do espaço
,
Elásticos: Vertical
Courtesy of Dr S. Chieh Lin, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 34
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 29 meses

Número de alinhadores

  • Maxillary: 69 + 15 = 84
  • Mandibulary: 69 + 27 = 96

Aligner Wear time

  • 7days and 10 days

Results achieved

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

Comentários

  • This is a Class I bi-maxillary protrusion case.
  • The ideal treatment plan would have been extraction of 1.4, 2.4, 3.4 and 4.4 with the use of G6 maximal anchorage protocol.
  • Because the patient is missing 1.5 and 3.6 and the minimal health condition of the teeth I decided to Extract 2.5 and 4.5.(both prosthesis) and close the spaces of 1.5,2.5, 3.6 ans 4.5 with maximal anchorage design.
  • This was a very difficult case that had an amazing result with the use of a combination aligners and Class II Elastics.
  • Vivera retainers finalize this treatment.

Images

Initial and final

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left
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left

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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