Classe I
,
Classe III
,
Arcos estreitos
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Acavalamento
,
Rotações

Distalização
,
Mesialização
,
 Nivelación de la curva de Spee
,
Extrusão
,
Intrusão
,
Expansão
,
Vestibularização
,
Elásticos: Classe II
Courtesy of Dr M. Pedernera, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 28 meses

Número de alinhadores

  • Maxillary: 50 + 16 + 21 = 87
  • Mandibulary: 50 + 16 + 21 = 87

Aligner Wear time

  • Every 2 weeks the first set of aligners and every week in the Additional Aligners

Results achieved

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

  • To create space for a future implant in the zone of 4.5 I planned on distalizing 4.6 and 4.7
  • Mesialization on 4.4, 4.3 created the opportunity tocorrect the lower midline and upright the tipped lower incisors
  • The space for the eruption of 3.5 was bigger than needed therefor we distalized 3.4 and 3.3 in order to create a more organic space
  • To solve the deep bite I planned intrusion of lower anterior teeth and intrusion on 3.7 and 4.7, with mild extrusion of lower premolars and first molars.
  • To help with the intrusion we used precision bite ramps in palatal of 1.2, 1.1, 2.1 and 2.2.
  • Upper jaw sequenced expansion by 1/2 protocol and expansion of the posterior teeth
  • De-rotation of 1.6 and 2.6 before aligning the anterior teeth and retruding them
  • The cooperation of the patient during the hole treatment was absolutely fantastic

Images

Initial and final

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front
left
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lower
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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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