Classe I
,
Aumento do trespasse horizontal
,
Deep bite
,
Arcos estreitos
,
Desviación de la línea media maxilar
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Acavalamento
,
Rotações
,
Pré-Restaurador

Distalização
,
Mesialização
,
 Nivelación de la curva de Spee
,
Intrusão
,
Expansão
,
Vestibularização
,
IPR
,
Restaurador
,
Implantes
Courtesy of Dr M. Pedernera, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 47
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 17 meses

Número de alinhadores

  • Maxillary: 28 + 25 + 14 = 67
  • Mandibulary: 28 + 25 + 14 = 67

Aligner Wear time

  • 2 weeks at the beggining of the treatment and every 1 week until the end

Results achieved

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  • Normal overjet and overbite achieved
  • Linhas médias coincidentes
  •  Curva de Spee equilibrada
  • Arcos alinhados e coordenados
  • Forma de arco melhorada
  • Aesthetic smile linewas achieved
  • Todos os objetivos de tratamento foram casos alcançados

Comentários

  • This case was challenging taking into account the amount of mm of overbite
  • The main issue was to solve the crowding of the lower teeth and creating at least 7 mm of space for the implant of 1.5
  • The treatment plan was to expand both arches
  • In the first Clincheck I requested to mesialize the 1.4 and 1.3, adding IPR to the upper left quadrant in order to obtain space for the mesialization and also to center the upper mid-line to the left
  • Because the excess of Bolton 6 in the lower arch I applied IPR to compensate this
  • During the treatment 2.8 was extracted because of premature contacts with extruded 3.8
  • Patient was advised to extract all of them, but at this time, the patient is not ready to consent

Images

Initial and final

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front
left
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lower
right
front
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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