Classe III
,
Mordida cruzada anterior
,
Deep bite
,
Arcos estreitos
,
Mordida cruzada posterior
,
Arcadas asimétricas
,
Desviación de la línea media maxilar
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Acavalamento
,
Rotações
,
Espaçamento
,
Diastema

Elásticos: Classe III
,
Distalização
,
Mesialização
,
Leveling curve of Spee
,
Intrusão
,
Expansão
,
Retração
,
Vestibularização
,
IPR
,
Tratamento da Fase II
Courtesy of Dr. K. Malekian, 2019
Before picture of treatment

Tratamento em destaque

Dr. K. Malekian

We would like to thank Dr. Malekian for this Class III case submission, that provides an almost step by step insight into the excellent treatment planning with a great treatment end result.

Dr. K. Malekian

Treatment Summary

Patient Information

  • Age: 31
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 20 meses

Número de alinhadores

  • Maxillary: 62 + 17 = 79
  • Mandibulary: 62 + 17 = 79

Aligner Wear time

  • Progressive Aligner Change: 14 Days- 10 Days- 7 Days.

Retenção

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Relação de Classe I obtida
  •  Relação de Classe I mantida
  • Orientação canina funcional em ambos os lados
  • Mordida cruzada anterior corrigida
  • Mordida cruzada posterior corrigida
  • Normal overjet and overbite achieved
  •  Mordida profunda melhorada
  •  Trespasse horizontal melhorado
  • Significant improvement ofoverbite
  • Melhoria significativa do trespasse horizontal
  • Linhas médias coincidentes
  • Inclinação axial adequada dos incisivos
  • Curve of Spee leveled
  • Arcos alinhados e coordenados
  • Alinhamento dos dois arcos através de derrotação
  • Forma de arco melhorada
  • Aesthetic smile linewas achieved
  • Todos os objetivos de tratamento foram casos alcançados
  • Os arcos harmônicos foram alcançados

Comentários

  • Maxilla arch expansion
  • Mesialization of upper arch: molars, premolars, canine
  • Sequential lower arch distalization: molars, premolars, canine & incisors ( total distalization 3.25mm )
  • Full-time class iii elastics wear
  • Full-time aligner wear
  • Sequential attachments at lower molars: at the stage, the lower molars finish distalization a 4mm beveled attachment is placed at the buccal surface of the lower molars to increase anchorage
  • Lingual beveled attachments placed at the lingual surface of lower incisors
  • Retraction and simultaneous lingual root torque of lower incisors during lower arch sequential distalization
  • The lower reversed curve of Spee flattened
  • Multiple rotations were aligned with optimized rotation attachments: ur5, ur4, ul4
  • Spacing and diastema were closed at upper incisors

Images

Initial and final

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

Progresso

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upper
lower
right
front
left

Radiografías

Inicial Finais
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