Classe I
,
Aumento do trespasse horizontal
,
Deep bite
,
Acavalamento
,
Espaçamento

 Nivelación de la curva de Spee
,
Intrusão
,
First premolar extraction
,
IPR
,
Fechamento do espaço
,
TADs
,
Elásticos: Classe II
Courtesy of Dr X. Li, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 26
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 38 months

Número de alinhadores

  • Maxillary: 42 + 51 + 20 = 113
  • Mandibulary: 42 + 51 + 20 = 113

Aligner Wear time

  • 10 dias

Retenção

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  •  Relação de Classe I mantida
  • Normal overjet and overbite achieved
  •  Mordida profunda melhorada
  •  Trespasse horizontal melhorado
  • Linhas médias coincidentes
  • Inclinação axial adequada dos incisivos
  • Arcos alinhados e coordenados
  • Alinhamento dos dois arcos através de derrotação
  • Todos os objetivos de tratamento foram casos alcançados
  • Os arcos harmônicos foram alcançados

Comentários

  • The patient is missing the 3.1 and 4.1
  • I extracted the 1.4 and 2.4 and used the maximum anchorage of the posterior teeth to close the space
  • Class Ⅱ elastics have been used to strengthen the anchorage of the upper teeth
  • I found at the end of the treatment that the upper posterior teeth still had a little mesialization
  • Distalized the upper teeth one by one during the refinement
  • The result was very good
  • We managed to obtain the class Ⅰ relationship
  • We closed the space on the lower teeth
  • Use of IPR to get the Bolton ratio coordination
  • TADs were used to improve the gummy smile
  • At the end of the treatment, we saw a great improvement in both the patient's profile and smile

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InicialFinais
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiografías

Inicial Finais
Click to compare enlarged396
Click to compare enlarged390