Class II div 2
,
Kreuzbiss im Seitenzahnbereich
,
Deep bite
,
Asymmetrische Zahnbögen
,
Maxilläre Mittellinien-Abweichung
,
Engstand
,
Rotationen

 Nivellierung der Spee-Kurve
,
Expansion
,
Retraktion
,
ASR
Courtesy of Dr D. Raickovic, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 9 monate

Anzahl der Aligner

  • Maxillary: 27
  • Mandibulary: 35

Aligner Wear time

  • 1 woche

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Klasse I-Relation erzielt
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Posteriorer Kreuzbiss korrigiert
  • Tiefbiss verbessert
  • Overjet verbessert
  • 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

  • In the upper arch expansion + derotation of canines and incisors with sequence of derotation, I included in sequence of round tripping to make it more predictable.
  • After derotation IPR + intrusion + retrusion + palatal root torque.
  • In lower arch expansion + derotation of premolars to open space necessary for correction of whole crown crossbite (scissor-bite) of teeth 1.4, 4.4. Proclination + intrusion of lower incisors together with expansion and derotation of lower canines (rotated by 50 degrees).
  • With the sequence of round tripping of lower incisors and canines and integration of rotation at the same time, I de-rotated lower incisors and canines.
  • After derotation followed intrusion + retrusion + lingual root torque.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
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 enlarged400
Click to compare enlarged394