Classe III
,
Open bite
,
Mudança da linha média
,
Acavalamento
,
Rotações

Elásticos: Classe III
,
Mesialização
,
Extrusão
,
Intrusão
,
Expansão
,
IPR
Courtesy of Dr M. Pedernera, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 26
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 20 meses

Número de alinhadores

  • Maxillary: 28 + 17 + 17 = 62
  • Mandibulary: 28 + 17 + 17 = 62

Aligner Wear time

  • 1 semana

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
  • Arcos alinhados e coordenados
  • Aesthetic smile linewas achieved
  • Todos os objetivos de tratamento foram casos alcançados

Comentários

  • The chief concern was that it the patient was not able to bite properly (through food) with the anterior teeth.
  • The patient didn't accept the use of TAD's so she challenged me and asked me to try with anterior extrusion and posterior intrusion with the help of chewies
  • The patient moved to another country during treatment.
  • My treatment plan was to expand both arches to improve the narrow arch situation
  • In the first Clincheck I asked to close the anterior open bite through Anterior Extrusion, combined with posterior intrusion and it worked just perfect.
  • I ordered the extraction of all wisdom teeth, and that has reduced the open bite significantly, allowing the premolars and anterior teeth to contact for the first time in her life
  • Once we arrived in the final stage of additional aligners (last 4 aligners), there was an issue with 1.2 and 2.2 not fitting well
  • I've managed to force eruption with buttons and elastics as you can see in the intermediate pictures
  • The orthodontic treatment was combined with a lingual reeducation working hand to hand with a Speech Therapist
  • We finalized the treatment with fixed retainers from cuspid to cuspid and Vivera retainers on top and bottom.

Images

Initial and final

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front
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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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