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

Distalisation
,
 Nivellierung der Spee-Kurve
,
Intrusion
,
Expansion
,
Retraktion
,
ASR
,
Elastics: Klasse II
Courtesy of Dr J. Weng, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 11
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 18 monate

Anzahl der Aligner

  • Maxillary: 33 + 21 + 11 = 65
  • Mandibulary: 21 + 21 + 7 = 49

Aligner Wear time

  • 1 woche

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Klasse I-Relation erzielt
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Normaler Overjet und Overbite erzielt
  • Tiefbiss verbessert
  • Overjet verbessert
  • Deutliche Verbesserung des Overjet
  • Richtige axiale Schneidezahninklination
  • Curve of Spee leveled
  • Zahnbögen begradigt und koordiniert
  • Zahnbogenform verbessert
  • Ästhetische Lachlinie wurde erzielt  
  • Alle Behandlungsziele wurden erreicht für den Fall
  • Harmonie der Zahnbögen wurde erzielt

Bemerkungen

  • This case is skeletal Class II(ANB=6°) with maxillary protrusion and mandibular retraction.
  • The appropriate treatment was to suppress maxillary arch development and promote the forward growth of the mandible.
  • Three-dimensional adjustments on the upper and lower arches were very important in Class II malocclusion treatment.
  • Horizontally, I used aligners to expand the upper arch by 3mm per side.
  • Vertically, I used G5 attachments to help leveling the Spee curve and correct deep bite.
  • Sagitally, I distalized upper molars to retract upper anterior teeth and decrease anterior overjet.
  • Light force(3/16,3.5oz) Class II elastics are used to guide the mandible forward.

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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Röntgenbilder

Ausgangsposition Finale
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