Klasse II Div. 1
,
Deep bite
,
Enge Zahnbögen
,
Mittellinienverschiebung

Distalisation
,
 Nivellierung der Spee-Kurve
,
Intrusion
,
Expansion
,
Retraktion
,
ASR
,
TADs
,
Elastics: Class II in Additional Aligners
,
Elastics: Vertikal
Courtesy of Dr Y. Nien Shan, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 28
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 30 monate

Anzahl der Aligner

  • Maxillary: 20 + 65 + 8 = 93
  • Mandibulary: 20 + 37 + 8 = 65

Aligner Wear time

  • 1 woche

Retention

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  • Klasse I-Relation erzielt
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Normaler Overjet und Overbite erzielt
  • Tiefbiss verbessert
  • 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 first series mainly expanded the arch, unlocked the mandible, and assured the real occlusion.
  • In the second series, we combined two Tads over the zygomatic area to distalize the upper and lower arch and the other two Tads for a correct gummy smile and occlusal plane canting.
  • During largely intruding and retracting upper dentition, we added a vertical jump and vertical elastic for the bite set.
  • In the end, used 8 more aligners for esthetic detailing.

Images

Initial and final

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upper
lower
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front
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lower
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Fortschritt

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AusgangspositionFinale
Before picture of treatment
After picture of treatment
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Röntgenbilder

Ausgangsposition Finale
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