Clase II, div. 2
,
Mordida cruzada posterior
,
Deep bite
,
Arcos assimétricos
,
Desvio da linha média maxilar
,
Desviación de la línea media
,
Apiñamiento
,
Rotaciones

Distalización
,
 Nivelamento da curva de Spee
,
Extrusión
,
Intrusión
,
Expansión
,
Proclinación
,
IPR
,
Elásticos: Clase II
,
Elastics: Class II in Additional Aligners
,
Elásticos: Vertical
Courtesy of Dr S. Okano, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 17
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 24 meses

Cantidad de alineadores

  • Maxillary: 54 + 25 + 15 = 94
  • Mandibulary: 52 + 25 + 13 = 90

Aligner Wear time

  • 1 semana

Retencion

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • Relación clase I conseguida
  • Guía funcional de caninos en ambos lados
  • Mordida cruzada posterior corregida
  • Resalte y sobremordida normal conseguidos
  •  Mordida profunda mejorada
  • Mejora significativa de la sobremordida
  • 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

  • Despite the fact that the roots of UR1 and UL1 were too short, we were able to minimize the damage by minimizing the amount of movement.
  • To improve scissors bite(UR4) and posterior crossbite (left side), we aligned and coordinated the arches, which proved to be very effective.
  • In initial aligners, sequential distalization was performed to improve Class II.
  • We continued using Class II elastics (3/16 inch, 4.5 OZ) in initial aligners.
  • Optimizing extrusion attachments for molars was effective for detailing on the left side molars.

Images

Initial and final

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lower
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front
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lower
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front
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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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