Class II div 2
,
Erhöhter Overjet
,
Mandibuläre Retrognathie
,
Deep bite
,
Enge Zahnbögen
,
Asymmetrische Zahnbögen
,
Maxilläre Mittellinien-Abweichung
,
Mandibuläre Mittellinien-Abweichung
,
Mittellinienverschiebung
,
Engstand
,
Rotationen

 Nivellierung der Spee-Kurve
,
Extrusion
,
Intrusion
,
Expansion
,
Retraktion
,
Proklination
,
ASR
,
Phase-II-Behandlung
,
Elastics: Klasse II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr K. Malekian, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 31
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Anzahl der Aligner

  • Maxillary: 27 + 19 + 18 = 64
  • Mandibulary: 27 + 19 + 18 = 64

Aligner Wear time

  • Progressive Aligner change interval.14 Days- 10 Days- 7 Days

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Klasse I-Relation erzielt
  • Klasse I-Relation erhalten
  • 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

  • Proclination of upper central teeth combined with retraction of upper lateral teeth was done in order to achieve nice esthetic upper incisor inclination and deep bite correction improved.
  • IPR was programmed (Clincheck plan) at lower left premolars in order to achieve space for lower left canine retraction and alignment.
  • Midline correction was planned regarding facial midline reference to be coincident with the dental midline. In this treatment, minimal IPR was planned at clincheck in order to move the upper midline to the left side and lower midline to the right side.
  • Class II elastics with aligner button cutouts were planned to achieve full class I molar and canine.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Fortschritt

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lower
right
front
left
AusgangspositionFinale
Before picture of treatment
After picture of treatment
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Röntgenbilder

Ausgangsposition Finale
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