Clase II, div. 1
,
Resalte aumentado
,
Retrognatia mandibular
,
Deep bite
,
Arcadas estrechas
,
Desvio da linha média mandibular
,
Desviación de la línea media

Distalización
,
 Nivelamento da curva de Spee
,
Intrusión
,
Expansión
,
Retracción
,
IPR
,
Elásticos: Clase II
Courtesy of Dr J. Weng, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 11
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 18 meses

Cantidad de alineadores

  • Maxillary: 33 + 21 + 11 = 65
  • Mandibulary: 21 + 21 + 7 = 49

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 del resalte
  • Inclinación axial correcta de incisivos
  • 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
  • Se lograron arcadas armoniosas

Comentarios

  • This case is skeletal Class II(ANB=6°) with maxillary protrusion and mandibular retraction.
  • The appropriate treatment was to suppress maxillary arch development and promote the forward growth of the mandible.
  • Three-dimensional adjustments on the upper and lower arches were very important in Class II malocclusion treatment.
  • Horizontally, I used aligners to expand the upper arch by 3mm per side.
  • Vertically, I used G5 attachments to help leveling the Spee curve and correct deep bite.
  • Sagitally, I distalized upper molars to retract upper anterior teeth and decrease anterior overjet.
  • Light force(3/16,3.5oz) Class II elastics are used to guide the mandible forward.

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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