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

Mandibuläre Protrusion
,
Distalisation
,
Mesialisation
,
 Nivellierung der Spee-Kurve
,
Extrusion
,
Intrusion
,
Expansion
,
Retraktion
,
ASR
,
Lückenschließung
,
Elastics: Klasse II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr B. Wang, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 10
  • Gender: male
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 22 monate

Anzahl der Aligner

  • Maxillary: 44 + 39 = 83
  • Mandibulary: 44 + 39 = 83

Aligner Wear time

  • 1 woche

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

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

  • Buccally upright the crown of upper posterior teeth to help correct narrow upper dental arch
  • Spaces gained from upper dental expansion and upper molars distalization combined with pre-treatment upper dental space and leeway space were used to help retract labially proclined upper incisors
  • Class II elasctics were used for mandibular advancement and upper posterior teeth distalization
  • Lower premolars extrusion and incisors intrusion to help correct severe anterior deep overbite
  • IPR was used for upper anterior teeth to help correct Bolton discrepancy in the upper and lower anterior region
  • Upper incisors retraction and mandibular advancement to help correct severe anterior deep overjet
  • Power ridge designs were used for lower anterior teeth to help prevent gingival recession, alveolar bone dehiscence, and fenestration during orthodontic treatment
  • Waited with 15, 25, 45, 17, 27, 37, and 47 until eruption into dentition and all could be included in orthodontic treatment
  • Extraction of the supernumerary tooth after orthodontic treatment completed

Images

Initial and final

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

Fortschritt

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