Classe III, Mordida cruzada posterior, Mordida cruzada anterior, Mordida borde a borde, Deep bite, Arcos estreitos, Arcadas asimétricas, Desviación de la línea media maxilar, Desviación de la línea media mandibular, Mudança da linha média, Acavalamento, Rotações
Distalização
, Nivelación de la curva de Spee
, Extrusão
, Intrusão
, Expansão
, Vestibularização
, IPR
, Elásticos: Classe III
Courtesy of Dr K. Malekian,
2018
2019 Peer Review Award
Treatment Summary
Patient Information
- Age: 30
- Gender: male
- Invisalign Submission Option: Invisalign Full
Total Treatment Time
- 21 meses
Número de alinhadores
- Maxillary: 32 + 33 + 20 = 85
- Mandibulary: 32 + 33 + 20 = 85
Aligner Wear time
- 10 day aligner change for treatment aligner. Refinement aligner change range between 7-5 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
- 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
- Determine space selection was the key factor to resolve the severe crowding in the upper and lower arch
- Staging was also a key factor: We started with high expansion of upper molars and premolars and when gained enough space we continued with arch development and retraction to extrude upper canines
- IPR was planned at upper and lower premolars
- Carefull IPR tracking with distalization movement of upper and lower premolars allowed space in order to align high angle rotation of canines 2.3,3.3 and 4.3 .
- Conventional bite ramps at the buccal surface of lower four incisors were used in order to correct the deepbite
- Class III elastics were used in order to improve the anterior/posterior relationship and turn Class III canine and molar into full class I molar and canine.
- Proclination of upper laterals 1.2 and 2.2 in order to correct the anterior crossbite.
- Arch coordination tool at clincheck Pro was very helpfull.
- The maxilla and mandible arch form at stage U0-L0 were very asymmetric and required arch form coordination.
- Lower incisor proclination and simultaneously lower canines were retracted and distalized
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