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

 Nivellierung der Spee-Kurve
,
Extrusion
,
Intrusion
,
Expansion
,
Retraktion
,
Extraktion der unteren Schneidezähne
,
ASR
,
Lückenschließung
Courtesy of Dr V. Laoamata, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 41
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 15 monate

Anzahl der Aligner

  • Maxillary: 27 + 32 = 59
  • Mandibulary: 27 + 31 = 58

Aligner Wear time

  • 1 woche

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

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

Bemerkungen

  • 4.2 was a hopeless tooth and planned for extraction.
  • Space closure with the Invisalign system was programmed by virtual gable bend to 4.3 and 4.1 for root parallelism after treatment finish.
  • IPR was performed in the upper anterior to solve Bolton's ratio discrepancy from the lower incisor extraction.
  • IPR in the lower arch was used to prevent dark triangles after the treatment was finished.
  • Precision bite ramps helped the intrusion of lower anterior teeth during the retraction phase.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
AusgangspositionFinale
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Röntgenbilder

Ausgangsposition Finale
Click to compare enlarged400
Click to compare enlarged394