Klasse II Div. 1
,
Mandibuläre Retrognathie
,
Open bite
,
Enge Zahnbögen
,
Maxilläre Mittellinien-Abweichung
,
Engstand
,
Rotationen

Distalisation
,
Mesialisation
,
Extrusion
,
Retraktion
,
Proklination
,
First premolar extraction
,
Andere Extraktion
,
ASR
,
Elastics: Klasse II
Courtesy of Dr. C. Capan, 2020
Award 2021 Peer Review Award
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 29
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 26 months

Anzahl der Aligner

  • Maxillary: 56 + 16 = 72
  • Mandibulary: 56 + 16 + 10 = 82

Aligner Wear time

  • 15 days for the first 3 months, every 10 days for the rest and 7 days for the final aligners.

Retention

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

Results achieved

  • Klasse I-Relation erzielt
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Normaler Overjet und Overbite erzielt
  • Overjet verbessert
  • Deutliche Verbesserung des Overbite
  • Deutliche Verbesserung des Overjet
  • Mittellinien symmetrisch
  • Richtige axiale Schneidezahninklination
  • Zahnbögen begradigt und koordiniert
  • Alignment beider Zahnbögen durch De-Rotation
  • Zahnbogenform verbessert
  • Ästhetische Lachlinie wurde erzielt  
  • Alle Behandlungsziele wurden erreicht für den Fall
  • Harmonie der Zahnbögen wurde erzielt

Bemerkungen

  • Distalization was planned for the upper left arch and a combination of distalization and mesialization for the upper right arch
  • Class II elastics (6 1/2 oz 4.8mm heavy) were advised for night use only
  • At the end of the initial aligners, the closure of all extraction spaces was achieved
  • For midline correction the patient used class 2 elastics on the left side and class 3 elastics on the right side during the 2nd additional aligners phase
  • The patient's cooperation was so good that he used elastics for 24/7 instead of only during the night
  • This great patient cooperation made it possible to achieve midline and anterior-posterior corrections at aligner 16 rather than aligner 20
  • At the final refinement, IPR on lower anterior and extrusion of the upper anterior were planned for a better overbite and overjet relationship

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Fortschritt

Click to compare enlarged
upper
lower
right
front
left
AusgangspositionFinale
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Röntgenbilder

Ausgangsposition Finale
Click to compare enlarged430
Click to compare enlarged424