Klasse II Div. 1
,
Kreuzbiss im Seitenzahnbereich
,
Mandibuläre Retrognathie
,
Enge Zahnbögen
,
Engstand
,
Rotationen

Mandibuläre Protrusion
,
 Nivellierung der Spee-Kurve
,
Extrusion
,
Intrusion
,
Retraktion
,
Elastics: Vertikal
Courtesy of Dr L. Closs, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Anzahl der Aligner

  • Maxillary: 49 + 18 = 67
  • Mandibulary: 49 + 18 = 67

Aligner Wear time

  • 1 woche

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Fixed/Bonded

Results achieved

  • Klasse I-Relation erzielt
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Posteriorer Kreuzbiss korrigiert
  • Normaler Overjet und Overbite erzielt
  • Richtige axiale Schneidezahninklination
  • Curve of Spee leveled
  • Alignment beider Zahnbögen durch De-Rotation
  • Zahnbogenform verbessert
  • Harmonie der Zahnbögen wurde erzielt

Bemerkungen

  • A pre advancement phase was performed with 10 aligners to improve maxillary and mandibular arches and start correction of crowding;
  • Teeth 1.7 and 2.7 were tipped lingual while 3.7 and 4.7 were tipped buccal, in order to correct scissors crossbite;
  • Vertical control was performed by intrusion of posterior teeth, and auto-rotation of mandible;
  • Cl I relationship was achieved by 4 sets of mandibular advancement (2mm each);
  • Torque control of upper and lower incisors was performed while retraction of anterior teeth;
  • Additional aligners were used to improve posterior intercuspation aimed by vertical elastics - nighttime wear.

Images

Initial and final

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upper
lower
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front
left

Fortschritt

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lower
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front
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AusgangspositionFinale
Before picture of treatment
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Röntgenbilder

Ausgangsposition
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