Classe III
,
Mordida cruzada posterior
,
Mordida cruzada anterior
,
Arcadas asimétricas
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Acavalamento
,
Pré-Restaurador

Elásticos: Classe II
,
 Nivelación de la curva de Spee
,
Extrusão
,
Intrusão
,
Expansão
,
Vestibularização
,
IPR
,
Restaurador
,
Elásticos: Classe III
Courtesy of Dr L. Ching Fan Li, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 48
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 20 meses

Número de alinhadores

  • Maxillary: 46 + 17 + 22 = 85
  • Mandibulary: 46 + 17 + 22 = 85

Aligner Wear time

  • Initially every 10 days, weekly from MCC

Results achieved

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  • Mordida cruzada anterior corrigida
  • Mordida cruzada posterior corrigida
  • Normal overjet and overbite achieved
  • Inclinação axial adequada dos incisivos
  • Curve of Spee leveled
  • Arcos alinhados e coordenados
  • Alinhamento dos dois arcos através de derrotação
  • Aesthetic smile linewas achieved
  • Todos os objetivos de tratamento foram casos alcançados
  • Os arcos harmônicos foram alcançados

Comentários

  • The premature contact between anterior teeth leading mandibular displacement was corrected by proclination of upper anterior teeth and upper and lower arch expansion
  • Different patterns of elastics were used throughout the treatment to help arch coordination
  • Extrusion with attachments worked great with leveling of curve of Spee and settling the bite
  • Periodontal condition was maintained
  • Root canal treatment was completed on the upper left canine (23).
  • Prior to final refinement we did composite build up of upper anterior teeth after correction of the anterior crossbite

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left
InicialFinais
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finais
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