Posterior crossbite
,
Open bite
,
Mandibular midline deviation

IPR
,
Pre-surgical
,
TADs
,
Elastics: Class II
Courtesy of Dr D. Mallol, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 42
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 19 months

Number of aligners

  • Maxillary: 19 + 32 = 51
  • Mandibulary: 19 + 32 = 51

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case

Comments

Debido a la asimetría esquelética había compensaciones dentales. He comprimido el cuarto cuadrante que estaba hiperexpandido ayudándome del IPR en la fase previa de la cirugía ortognática. Después de la cirugía me he anclado en microimplantes inferiores para conseguir la extrusión de 13 y 23, corregir la clase II y la mordida abierta anterior.

  • Due to skeletal asymmetry, there were dental compensations.
  • I compressed the fourth quadrant which was hyperexpanded with help of the IPR in the previous phase of the orthognathic surgery.
  • After the surgery, I anchored lower micro-implants to achieve the extrusion of 13 and 23, correct the class II and the anterior open bite.

                

Images

Initial and final

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left
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front
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Progress

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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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