Clase II, div. 1
,
Retrognatia mandibular
,
Open bite
,
Arcadas estrechas
,
Desvio da linha média maxilar
,
Apiñamiento
,
Rotaciones

Distalización
,
Mesialización
,
Extrusión
,
Retracción
,
Proclinación
,
First premolar extraction
,
Otra extracción
,
IPR
,
Elásticos: Clase II
Courtesy of Dr. C. Capan, 2020
Award 2021 Peer Review Award
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 29
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 26 months

Cantidad de alineadores

  • Maxillary: 56 + 16 = 72
  • Mandibulary: 56 + 16 + 10 = 82

Aligner Wear time

  • 15 days for the first 3 months, every 10 days for the rest and 7 days for the final aligners.

Retencion

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Relación clase I conseguida
  • Guía funcional de caninos en ambos lados
  • Resalte y sobremordida normal conseguidos
  •  Resalte mejorado
  • Mejora significativa de la sobremordida
  • Mejora significativa del resalte
  • Coincidencia de líneas medias
  • Inclinación axial correcta de incisivos
  • Arcadas alineadas y coordinadas
  • Alineación de ambas arcadas a través de desrrotación
  • Forma de la arcada mejorada
  • Se logró una línea de sonrisa estética  
  • Todos los objetivos del tratamiento se lograron en el caso
  • Se lograron arcadas armoniosas

Comentarios

  • Distalization was planned for the upper left arch and a combination of distalization and mesialization for the upper right arch
  • Class II elastics (6 1/2 oz 4.8mm heavy) were advised for night use only
  • At the end of the initial aligners, the closure of all extraction spaces was achieved
  • For midline correction the patient used class 2 elastics on the left side and class 3 elastics on the right side during the 2nd additional aligners phase
  • The patient's cooperation was so good that he used elastics for 24/7 instead of only during the night
  • This great patient cooperation made it possible to achieve midline and anterior-posterior corrections at aligner 16 rather than aligner 20
  • At the final refinement, IPR on lower anterior and extrusion of the upper anterior were planned for a better overbite and overjet relationship

Images

Initial and final

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upper
lower
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front
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upper
lower
right
front
left

Progreso

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lower
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InicialFinales
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finales
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