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
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