Class II div 2
,
Deep bite
,
Maxilläre Mittellinien-Abweichung
,
Mittellinienverschiebung
,
Engstand
,
Rotationen

Distalisation
,
 Nivellierung der Spee-Kurve
,
Expansion
,
ASR
,
Elastics: Klasse II
Courtesy of Dr R. Bordin, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 15 monate

Anzahl der Aligner

  • Maxillary: 31 + 17 = 48
  • Mandibulary: 31 + 17 = 48

Aligner Wear time

  • 10 Tage

Results achieved

  • Klasse I-Relation erzielt
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Normal overjet and overbite achieved
  • Mittellinien symmetrisch
  • Curve of Spee leveled
  • Zahnbögen begradigt und koordiniert
  • Zahnbogenform verbessert
  • Aesthetic smile linewas achieved
  • Alle Behandlungsziele wurden erreicht für den Fall
  • Harmonie der Zahnbögen wurde erzielt

Bemerkungen

  • All third molars were extracted 2 weeks before the first aligner was installed, although the impression were taken with the third molars in place
  • The client started using full time Class II elastics (in hooks cut by me on the aligners) from aligner 2 until the last one, with full Class II correction in this set of aligners
  • Tooth #35 rotated almost completely in the first set of aligners
  • Minor corrections were needed with additional aligners to improve overbite, final correction of mid-line and a better alignment of upper anterior
  • The key to the success of this treatment was the late extraction of the third molars just before the beginning of using the first aligners, and full time use of Class II 1/4" elastics throughout the first set of aligners

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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upper
lower
right
front
left
AusgangspositionFinale
Before picture of treatment
After picture of treatment
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ClinCheck-Behandlungsplan

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Smartforce features

  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 4.3 (LR3), Buccal 4.4 (LR4)
  • Optimized root control attachments (G4) on Buccal 2.4 (UL4)
  • Pressure areas (G5) on Buccal 2.4 (UL4), Buccal 4.2 (LR2), Buccal 4.5 (LR5), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Buccal 3.4 (LL4), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)