Clase II, div. 2
,
Resalte aumentado
,
Retrognatia mandibular
,
Deep bite
,
Arcadas estrechas
,
Desvio da linha média mandibular
,
Desviación de la línea media
,
Apiñamiento
,
Rotaciones
,
Prerrestaurativo

Distalización
,
 Nivelamento da curva de Spee
,
Extrusión
,
Intrusión
,
Expansión
,
Proclinación
,
Otra extracción
,
IPR
,
Elásticos: Clase II
Courtesy of Dr K. Fei Fong, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 17 meses

Cantidad de alineadores

  • Maxillary: 43 + 9 + 9 = 61
  • Mandibulary: 24 + 10 + 9 = 43

Aligner Wear time

  • 1 semana

Retencion

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Relación clase I conseguida
  • Guía funcional de caninos en ambos lados
  • Resalte y sobremordida normal conseguidos
  •  Mordida profunda mejorada
  •  Resalte mejorado
  • Mejora significativa de la sobremordida
  • Mejora significativa del resalte
  • Coincidencia de líneas medias
  • Inclinación axial correcta de incisivos
  • Curve of Spee leveled
  • 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

  •  This is a very severe deep bite Class II div 2 case.
  •  18 was extracted to ensure that UR distalization could be performed smoothly.
  •  The lower anterior intrusion was done successfully to level the lower arch Curve of Spee and resolve deep bite problem. Sequential intrusion protocol was used to perform lower anterior intrusion.
  • 26 full zirconia crown was fabricated after aligner treatment.
  •  Both upper and lower esthetic crown lengthening was performed to increase clinical crown for better smile pattern.

Images

Initial and final

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Progreso

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InicialFinales
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finales
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