Klasse II Div. 1
,
Open bite
,
Asymmetrische Zahnbögen
,
Mandibuläre Mittellinien-Abweichung
,
Mittellinienverschiebung
,
Engstand
,
Rotationen

Extrusion
,
Intrusion
,
Proklination
,
ASR
,
Elastics: Klasse II
,
Elastics: Class II in Additional Aligners
,
Elastics: Vertikal
Courtesy of Dr M. Hiroce, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 29 monate

Anzahl der Aligner

  • Maxillary: 25 + 24 + 10 = 59
  • Mandibulary: 25 + 24 + 10 = 59

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Klasse I-Relation erzielt
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Normaler Overjet und Overbite erzielt
  • Overjet verbessert
  • 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

  • The challenge with this treatment was to correct occlusal cant by intruding posterior Q1 teeth.
  • Extruding posterior q2 teeth, closed then the anterior and posterior open bite.
  • Also, this movement allowed a counterclockwise mandibular rotation.
  • The procedure solved a Cl II skeletal relationship, as can be seen in the final patient profile.

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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