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
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