Clase II, div. 1
,
Mordida cruzada posterior
,
Resalte aumentado
,
Retrognatia mandibular
,
Deep bite
,
Arcadas estrechas
,
Rotaciones
,
Espaciado

Mesialización
,
 Nivelamento da curva de Spee
,
Intrusión
,
Retracción
,
First premolar extraction
,
IPR
,
Cierre de espacio
,
Elastics: Class II in Additional Aligners
Courtesy of Dr P. Nguyen, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Cantidad de alineadores

  • Maxillary: 72 + 27 + 22 = 121
  • Mandibulary: 72 + 27 + 22 = 121

Aligner Wear time

  • 1 semana

Retencion

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  • Relación clase I conseguida
  •  Relación clase I mantenida
  • 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

  • For patients with this kind of facial type and missing lower second premolar already: I removed the upper first premolar. Do maximum anchorage of upper molars and retraction of the upper anterior teeth .
  • Do upright and a small amount of mesial movement of lower molars
  • Derotation and distal movement of the lower first premolar.
  • Retraction and intrusion of lower anterior teeth to level Curve of Spee.
  • We used class II elastic in Additional Aligners
  • We finished with small class II canine and class I molar relationship

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progreso

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

Inicial Finales
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