Klasse II Div. 1
,
Erhöhter Overjet
,
Asymmetrische Zahnbögen
,
Maxilläre Mittellinien-Abweichung
,
Mittellinienverschiebung
,
Engstand
,
Rotationen

Distalisation
,
Extrusion
,
Expansion
,
Retraktion
,
ASR
,
TADs
,
Elastics: Klasse II
Courtesy of Dr C. Carvalho, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 19
  • Gender: male
  • Invisalign Treatment Option: Invisalign Comprehensive

Anzahl der Aligner

  • Maxillary: 30
  • Mandibulary: 11

Aligner Wear time

  • 10 Tage

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 Overjet
  • Mittellinien symmetrisch
  • 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

The case had a class II on the right side. I needed to correct class II and for that, I did a sequential distalization to have predictability. To ensure that I do not lose anchorage, insert a mini implant between 2.4 and 2.6, as soon as I have finished the 2.6 distalization movement. Another interesting thing was the use of class II elastic to further increase anchorage and assist in distalization.
I did lower IPR to move the lower midline slightly to the patient's right. Finally, I moved the anterior teeth to the patient's left and corrected the upper midline and the overjet

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left
AusgangspositionFinale
Before picture of treatment
After picture of treatment
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ClinCheck-Behandlungsplan

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Smartforce features

  • Optimized rotation attachment (G3)
  • Optimized Extrusion Attachment (G3)
  • Optimized Multi-plane (G4)
  • Optimized root control attachments (G4)
  • Konventionelle Bite Ramp
Download ADF files:
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