Class II div 2
,
Erhöhter Overjet
,
Mandibuläre Retrognathie
,
Deep bite
,
Enge Zahnbögen
,
Engstand
,
Rotationen
,
Lückenstand

Mandibuläre Protrusion
,
Pre Mandibular advancement phase
,
 Nivellierung der Spee-Kurve
,
Expansion
,
Retraktion
,
Lückenschließung
,
Elastics: Class II in Additional Aligners
Courtesy of Dr. I. Gidarakou, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 12
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen with MA

Total Treatment Time

  • 17 monate

Anzahl der Aligner

  • Maxillary: 36 + 36 + 16 = 88
  • Mandibulary: 36 + 36 + 16 = 88

Aligner Wear time

  • 1 woche

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

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

Bemerkungen

  • Due to a slight Bolton discrepancy between the upper lateral incisors perfect Class I canine could not be achieved on the right side. The parents decided to not correct the spaces left on the distal of tooth 1.2
  • We made the clinical decision to align the midlines and compromise slightly on the final position of tooth 1.3
  • Class II mandibular retrognathism was treated with MA and mandibular protrusion
  • At the same time the curve of Spee was leveled and the arches were aligned
  • Class II elastics were used to finalize the occlusion and to maintain the Class II correction achieved with the Precision wings

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left
AusgangspositionFinale
Before picture of treatment
After picture of treatment
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Röntgenbilder

Ausgangsposition Finale
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