Classe I
,
Mordida cruzada posterior
,
Mordida cruzada anterior
,
Arcos estreitos
,
Arcadas asimétricas
,
Desviación de la línea media maxilar
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Acavalamento
,
Rotações

Distalização
,
 Nivelación de la curva de Spee
,
Extrusão
,
Expansão
,
Elásticos: Classe II
,
Elastics: Class II in Additional Aligners
,
Elásticos: Classe III
Courtesy of Dr. S. Tsai, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 20 meses

Número de alinhadores

  • Maxillary: 39 + 23 = 62
  • Mandibulary: 39 + 23 = 62

Aligner Wear time

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

Retenção

  • Maxillary: Invisalign aligner
  • Mandibular: Invisalign aligner

Results achieved

  •  Relação de Classe I mantida
  • Orientação canina funcional em ambos os lados
  • Mordida cruzada posterior corrigida
  • Trespasse horizontal normal e sobremordida obtida
  • Linhas médias coincidentes
  • Inclinação axial adequada dos incisivos
  • Arcos alinhados e coordenados
  • Alinhamento dos dois arcos através de derrotação
  • Forma de arco melhorada
  • A linha de sorriso estético foi alcançada  
  • Todos os objetivos de tratamento foram casos alcançados
  • Os arcos harmônicos foram alcançados

Comentários

  • The treatment plan for this case is to keep the upper incisors in its initial AP position and get space from maxillary /mandibular arch expansion and distalization
  • Sequential upper and lower arch distalization plan: distalize molars, premolars, then canine & incisors ( total distalization 1.5mm )
  • A 4 mm horizontal CRT on 3.7 was selected to assist molar distalization
  • Doing arch expansion movement while doing sequential distalization
  • Night-time wear of class III elastics after upper sequential distalization was done to assist lower molar distalization

Images

Initial and final

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upper
lower
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front
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upper
lower
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front
left

Progresso

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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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