Klasse II Div. 1
,
Deep bite
,
Asymmetrische Zahnbögen
,
Maxilläre Mittellinien-Abweichung
,
Mandibuläre Mittellinien-Abweichung
,
Mittellinienverschiebung
,
Engstand
,
Rotationen

Distalisation
,
Intrusion
,
Retraktion
,
First premolar extraction
,
Elastics: Class II in Additional Aligners
,
Elastics: Vertikal
Courtesy of Dr. S. Okano, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 22
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 15 monate

Anzahl der Aligner

  • Maxillary: 68 + 22 = 90
  • Mandibulary: 65 + 22 = 87

Aligner Wear time

  • 5 days

Retention

  • Maxillary: Invisalign aligner
  • Mandibular: Invisalign aligner

Results achieved

  • Klasse I-Relation erzielt
  • Class II relationship maintained
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Normal overjet and overbite achieved
  • Significant improvement ofoverbite
  • Mittellinien symmetrisch
  • Richtige axiale Schneidezahninklination
  • Zahnbögen begradigt und koordiniert
  • Alignment beider Zahnbögen durch De-Rotation
  • Zahnbogenform verbessert
  • Aesthetic smile linewas achieved
  • Alle Behandlungsziele wurden erreicht für den Fall
  • Harmonie der Zahnbögen wurde erzielt

Bemerkungen

  • Through the extraction of first premolars, we resolved the crowding in both upper and lower arches and corrected the upper and lower dental midline
  • Distalization on the lower left molars to achieve Class II relationship
  • In the additional aligners, sequential distalization was performed to improve Class II
  • We continued using Class II elastics (3/16 inch, 4.5 or 6.5 OZ) in the additional aligners
  • Precision bite lamp was effective in preventing the vertical bowing effect of the anterior teeth
  • Vertical elastics were used on the left molar for detailing

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

Ausgangsposition Finale
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