Sınıf III
,
Posterior Çapraz Kapanış
,
Anterior Çapraz Kapanış
,
Kenardan kenara kapanış
,
Open bite
,
Dar Ark
,
Asimetrik arklar
,
Maksiller orta hat sapması
,
Mandibular orta hat sapması
,
Orta Hat Kayması
,
Çapraşıklık
,
Rotasyonlar

Elastikler: Sınıf III
,
Distalizasyon
,
 Spee Eğrisini Düzleştirme
,
Ektrüzyon
,
Ekspansiyon
,
Proklinasyon
,
IPR
,
Faz II tedavisi
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: male
  • Invisalign Submission Option: Full

Total Treatment Time

  • 23 months

Hizalayıcı sayısı

  • Maxillary: 31 + 16 + 15 = 62
  • Mandibulary: 31 + 17 + 15 = 63

Aligner Wear time

  • Progressive Aligner change 14 day-10 day-7 day interval based on complexity of movements and patient compliance.At refinement 7 day aligner change interval.

Alıkoyma

  • Maxillary: n

Results achieved

  • Sınıf I ilişkisine ulaşıldı
  • Her iki tarafta işlevsel köpekdişi kılavuzu
  • Anterior çapraz kapanış düzeltildi
  • Posterior çapraz kapanış düzeltildi
  • Normal overjet and overbite achieved
  • Overjet iyileştirildi
  • Significant improvement ofoverbite
  • Overjet’in önemli ölçüde iyileştirilmesi
  • Orta hatlar çakışık
  • Kesici dişlerin düzgün eksenel inklinasyonu
  • Spee Eğrisi düzeltildi
  • Arklar hizalandı ve koordine edildi
  • Derotasyonla her iki arkın hizalanması
  • Ark biçimi iyileştirildi
  • Aesthetic smile linewas achieved
  • Vakanın tüm tedavi hedeflerine erişildi
  • Harmonik arklar elde edildi

Yorumlar

    • 1. Sequential Lower distalization protocol with aesthetic start motivation.
      2. Lower arch sequential distalization permits us to achieve space in the lower arch and go from Class III molar and canine into Class I molar and canine.
      3. Lower arch sequential distalization allowsus to obtain overjet in order to correct the anterior crossbite and to torque lower incisors lingually.
      4. Lower arch sequential distalizationallows us to achieve over-jet in order to correct the upper and lower incisor angulation and achieve 131 degrees final interincisal angle.
      5. From L1 to L6 we achieve partial lower anterior alignment which motivates the patient in order to have high compliance during the period of 8-10 months of sequential lower arch distalization.
      6. Upper Arch Posterior Expansion in order to correct lateral cross-bite.
      7. Upper Anterior proclination in order to correct anterior cross-bite.
      8. Full time aligner and class III elastics ( 22 hours/day)
      9. Root Control Attachment Upper right central (11): Tipping root distally

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

İlerleme

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upper
lower
right
front
left
İlkSon
Before picture of treatment
After picture of treatment
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Radyogramlar

İlk Son
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