Class II div 2
,
Mandibuläre Retrognathie
,
Deep bite
,
Asymmetrische Zahnbögen
,
Maxilläre Mittellinien-Abweichung
,
Mandibuläre Mittellinien-Abweichung
,
Engstand
,
Rotationen

Distalisation
,
Leveling curve of Spee
,
Intrusion
,
Retraktion
,
Proklination
,
Elastics: Klasse II
Courtesy of Dr L. CLOSS, 2020
Before picture of treatment

Treatment Summary

Patient Information

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

Anzahl der Aligner

  • Maxillary: 55 + 14 = 69
  • Mandibulary: 55 + 10 = 65

Aligner Wear time

  • 1 woche

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Fixed/Bonded

Results achieved

  • Klasse I-Relation erzielt
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Tiefbiss verbessert
  • Overjet verbessert
  • Richtige axiale Schneidezahninklination
  • Curve of Spee leveled
  • Zahnbögen begradigt und koordiniert
  • Zahnbogenform verbessert
  • Ästhetische Lachlinie wurde erzielt  
  • Harmonie der Zahnbögen wurde erzielt

Bemerkungen

-Class I molar and canines relationship achieved by distalization mechanics associated to IPR (Bolton discrepancy) and Cl II elastics. Extraction of 1.8,2.8,3.8 and 4.8 were required previous of treatment start)
- Normal overjet and overbite achieved - sequentialized mechanics for distalization and proclination of upper and lower incisors followed by intrusion of lower incisors
- Significant improvement of overbite - significant intrusion of lower incisors and upper incisors
- Midlines coincident - Shifting of upper midline by teeth movement , IPR on right side and Cl II elastics
-Proper axial inclination of incisors - proclination of anterior teeth followed by retraction
-Curve of Spee leveled - intrusion of lower and upper incisors;
-Correction of canted of oclusal plane by intrusion of upper right segment and extrusion of upper left segment

Zahnbögen begradigt und koordiniert
Zahnbogenform verbessert
Aesthetic smile lines achieved
Harmonie der Zahnbögen wurde erzielt

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Fortschritt

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upper
lower
right
front
left
AusgangspositionFinale
Before picture of treatment
After picture of treatment
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Röntgenbilder

Ausgangsposition Finale
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