Classe I
,
Classe II Div 1
,
Mordida borde a borde
,
Arcos estreitos
,
Arcadas asimétricas
,
Mudança da linha média
,
Acavalamento
,
Rotações

Distalização
,
 Nivelación de la curva de Spee
,
Extrusão
,
Expansão
,
Retração
,
IPR
,
Elásticos: Classe II
,
Elásticos: Classe III
Courtesy of Dr H. Garcia Alatorre, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 11 meses

Número de alinhadores

  • Maxillary: 19 + 15 = 34
  • Mandibulary: 19 + 15 = 34

Aligner Wear time

  • 10 dias

Results achieved

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  • Normal overjet and overbite achieved
  •  Mordida profunda melhorada
  •  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

  • Biprotrusion and proinclination of the upper and lower incisors was theprimary factor to solve in this case.
  • The plan was to retraction and expansion over both arches, controlling anterior torque and retruding incisors to improve smile arc and Profile.
  • Midline deviation was solved.
  • We obtained an extrusion of upper incisors, for the smile arc improvement.
  • 4.7 initially had a rotation of almost 40° degrees, we made this correction with the use of aligners only.
  • Crowding was successfully solved by expansion + IPR.
  • Posterior planned torques were obtained and all objectives of the treatment were completed.
  • As we can see in the panoramic X-Ray, roots were verticalized, so theres a big improvement of IMPA and interincisal angle.
  • We obtained an improvement of patients profile (lips got retruded)
  • Assymetric CII and CIII elastics were implemented to solve CII on right side and correct Midlines.

Images

Initial and final

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

Inicial Finais
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