Klasse II Div. 1
,
Deep bite
,
Enge Zahnbögen
,
Asymmetrische Zahnbögen
,
Mandibuläre Mittellinien-Abweichung
,
Mittellinienverschiebung
,
Engstand
,
Rotationen
,
Lückenstand

Distalisation
,
 Nivellierung der Spee-Kurve
,
Extrusion
,
Intrusion
,
Expansion
,
Retraktion
,
Proklination
,
ASR
,
Lückenschließung
,
Elastics: Klasse II
Courtesy of Dr K. Fei Fong, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 21 monate

Anzahl der Aligner

  • Maxillary: 63 + 15 = 78
  • Mandibulary: 30 + 15 = 45

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Klasse I-Relation erzielt
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Normaler Overjet und Overbite erzielt
  • Tiefbiss verbessert
  • Overjet verbessert
  • Deutliche Verbesserung des Overbite
  • Deutliche Verbesserung des Overjet
  • Mittellinien symmetrisch
  • Richtige axiale Schneidezahninklination
  • Curve of Spee leveled
  • 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

1. Early improvement is very important in this case, to encourage patient compliance and confidence.
2. Start from stage 1, upper arch posterior sequential distalization was done by using align default distalization. Also, for early improvement and reduce amount of aligners, upper 2-2 retraction was done by stage 1.
3. Class II elastics was started from stage 4 for upper arch distalization anchorage.
4. No TADs were inserted in the whole treatment.
5. Lower intrusion is one of the important movement in this case to correct deep bite, staged intrusion was designed and performed very well in this case.
6. COVID-19 didn't affect to this patient and treatment, she still can wear aligner at home and finish this case with beautiful smile finally.

Images

Initial and final

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Fortschritt

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AusgangspositionFinale
Before picture of treatment
After picture of treatment
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Röntgenbilder

Ausgangsposition Finale
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