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

Distalisation
,
 Nivellierung der Spee-Kurve
,
Extrusion
,
Intrusion
,
Expansion
,
Retraktion
,
ASR
,
Elastics: Klasse II
Courtesy of Dr K. Sung Chung, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 51
  • Gender: female
  • Invisalign Submission Option: Invisalign Lite

Total Treatment Time

  • 10 monate

Anzahl der Aligner

  • Maxillary: 14 + 14 = 28
  • Mandibulary: 14 + 14 = 28

Aligner Wear time

  • Initial aligner changed at 2 weeks for a month then changed at 10 days interval.

Results achieved

  • Klasse I-Relation erzielt
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Significant improvement ofoverbite
  • 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
  • Aesthetic smile linewas achieved
  • Harmonie der Zahnbögen wurde erzielt

Bemerkungen

  • Class II canine and molar relationships were corrected to class I relationship with distalization of upper molars and class II elastics
  • Overjet was significantly reduced by retraction of upper incisors
  • Deep bite was reduced by significant intrusion of upper and lower incisors and a slight extrusion of lower premolars
  • Bolton maxillary excess was decreased by performing IPR in the maxillary arch
  • Lip protrusion was reduced by retraction of upper incisors
  • A new implant crown was placed on 36 ( lower left first molar) after orthodontic treatment
  • The reason why clinical outcome didn't have an exact match with the ClinCheck is that I over-engineered ClinCheck plan, especially over-treated deep overbite in this case. Patient was very satisfied with the treatment outcome

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Fortschritt

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 enlarged398
Click to compare enlarged392