Clase II, div. 2
,
Retrognatia mandibular
,
Deep bite
,
Arcos assimétricos
,
Desvio da linha média maxilar
,
Apiñamiento

Distalización
,
Leveling curve of Spee
,
Extrusión
,
Intrusión
,
Expansión
,
Overtreatment
,
Elásticos: Clase II
Courtesy of Dr G. Thiesen, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 43
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 24 meses

Cantidad de alineadores

  • Maxillary: 87 + 29 = 116
  • Mandibulary: 87 + 29 = 116

Aligner Wear time

  • Weekly for most of the duration of treatment and twice a week during some period due to the use of accelerated devices

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
  • Mejora significativa de la sobremordida
  • Coincidencia de líneas medias
  • Curve of Spee leveled
  • Arcadas alineadas y coordinadas
  • Forma de la arcada mejorada
  • Se logró una línea de sonrisa estética  
  • Todos los objetivos del tratamiento se lograron en el caso

Comentarios

  • Sequential distalization was done, associated with the use of Class II elastics. The sagittal jump accounted for 20% of the sagittal correction.
  • During the orthodontic treatment the maxillary and mandibular dental arches were aligned, and maxillary and mandibular incisor inclinations were improved.
  • Ideal overjet was obtained at the end of treatment.
  • Ideal overbite was obtained by intruding the mandibular anterior teeth mainly. For correction of the deep bite, leveling of the Curve of Spee was done initially, and only later lower IPR was performed.
  • Some vertical overcorrection was performed since proclination of the anterior teeth (relative intrusion) was not enough to level the severe Curve of Spee presented.
  • Gingival health has improved due to significant improvement of overbite.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left
InicialFinales
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finales
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