Class II div 2
,
Deep bite
,
Enge Zahnbögen
,
Maxilläre Mittellinien-Abweichung
,
Mandibuläre Mittellinien-Abweichung
,
Engstand

Mandibuläre Protrusion
,
Pre Mandibular advancement phase
,
Distalisation
,
 Nivellierung der Spee-Kurve
,
Intrusion
,
Expansion
,
Proklination
,
Elastics: Klasse II
Courtesy of Dr S. Alonso del Hoyo Cabetas, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 32 monate

Anzahl der Aligner

  • Maxillary: 45 + 45 + 22 = 112
  • Mandibulary: 45 + 45 + 22 = 112

Aligner Wear time

  • The frequency of change varies

Retention

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  • Klasse I-Relation erzielt
  • Normaler Overjet und Overbite erzielt
  • Mittellinien symmetrisch
  • Curve of Spee leveled
  • Zahnbögen begradigt und koordiniert
  • Ästhetische Lachlinie wurde erzielt  
  • Harmonie der Zahnbögen wurde erzielt

Bemerkungen

  • In this class two case, a first batch of aligners were made with a pre-advance to protrude the upper incisors to create protrusion, correct the Spee curve and center the midlines.
  • Then, a mandibular advancement. At the end of this batch there was a class II on the left side and the overbite had not been completely corrected.
  • A distalization of the 2nd quadrant was requested (a microscrew as an anchor between 26 and 27), correction of the Spee curve and protrusion and torque of the upper incisors.
  • Class II elastics were used. The third batch of aligners was ordered for finishing details for overbite enhancement and individual tooth details.

Images

Initial and final

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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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