Classe I
,
Mordida profunda
,
Arcos estreitos
,
Acavalamento
,
Rotações

Leveling curve of Spee
,
Extrusão
,
Intrusão
,
Expansão
,
Vestibularização

Información del tratamiento

  • Idade: 13
  • Sexo: masculino
  • Opção de tratamento Invisalign: Invisalign Teen

Resumen del diagnóstico

  • Classe I
  • Mordida profunda
  • Arcos estreitos
  • Acavalamento
  • Rotações

uso de

  • Expansão
  • Extrusão
  • Intrusão
  •  Nivelación de la curva de Spee
  • Vestibularização
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Optimized multiplane (G4) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 3.4 (LL4)
  • Optimized deepbite attachments activated for premolar extrusion (G5) on Buccal 1.5 (UR5), Buccal 3.4 (LL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 2.4 (UL4)
  • Optimized support attachment (G7) on Buccal 1.2 (UR2)
Courtesy of Dr M. Pedernera 2019

Fotos

Click to compare enlarged
upper
Inicial
lower
right
front
left
Click to compare enlarged
upper
Finais
lower
right
front
left
Click to compare enlarged
upper
Progresso
lower
right
front
left

Radiografías

Plano de tratamento ClinCheck

video anterior
video right-left
video upper-lower
Download ADF files
Inicial

Resumo do tratamento

Resultados conseguidos

  •  Relação de Classe I mantida
  • Orientação canina funcional em ambos os lados
  • Trespasse horizontal normal e sobremordida obtida
  • Linhas médias coincidentes
  • Curve of Spee leveled
  • Arcos alinhados e coordenados
  • Forma de arco melhorada
  • A linha de sorriso estético foi alcançada 
  • Todos os objetivos de tratamento foram casos alcançados

Tempo total de tratamento

  • 13 meses

Número de alinhadores

  • Maxillary: 44 + 24 + 13 = 81
  • Mandibular: 44 + 24 + 13 = 81

Tempo de uso do alinhador

  • 1 semana

Comentários

  • Treatment plan was to expand both arches to improve the narrow arches
  • Procline the upper and lower incisors
  • The overbite was improved by the virtual intrusion due to proclination of the anterior teeth
  • The most challenging issue to be solved was the rotation of 4.5 that had to be rotated more than 52 degrees
  • I planned to do this rotation with the help of a button placed on lingual of 4.6 and lingual of 4.5 which was very efficient
  • In my opinion what was important in this case is taking the bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position, this helped to reduce the number of aligners for the first stage