Posterior crossbite
,
Open bite
,
Mandibular midline deviation

IPR

,

Pre-surgical

,

TADs

,

Elastics: Class II

Courtesy of Dr D. Mallol, 2021

Treatment Summary

Patient Information

Age: 42
Gender: female
Invisalign Treatment 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.