Clase II, div. 1, Resalte aumentado, Retrognatia mandibular, Open bite, Deep bite, Apiñamiento, Rotaciones
Distalización
, Mesialización
, Nivelamento da curva de Spee
, Extrusión
, Intrusión
, Expansión
, Retracción
, First premolar extraction
, Cierre de espacio
, Elásticos: Clase II
, Elásticos: Vertical
, Extracción
Courtesy of Dr B. Wang,
2021
Treatment Summary
Patient Information
- Age: 23
- Gender: female
- Invisalign Submission Option: Invisalign Full
Total Treatment Time
- 23 meses
Cantidad de alineadores
- Maxillary: 64 + 19 + 9 = 92
- Mandibulary: 64 + 19 + 9 = 92
Aligner Wear time
- 1 semana
Retencion
- Maxillary: Hawley
- Mandibular: Hawley
Results achieved
- Relación clase I conseguida
- Guía funcional de caninos en ambos lados
- Resalte y sobremordida normal conseguidos
- Mejora significativa del resalte
- Coincidencia de líneas medias
- Inclinación axial correcta de incisivos
- Curve of Spee leveled
- Arcadas alineadas y coordinadas
- Se logró una línea de sonrisa estética
- Todos los objetivos del tratamiento se lograron en el caso
- Se lograron arcadas armoniosas
Comentarios
- 14, 24, 34, and 44 were extracted to help correct bimaxillary protrusion, maximum anchorage was designed for both upper and lower dental arches during space closure.
- Vertical position control for both upper and lower molars were carried out during orthodontic treatment in order to prevent clockwise rotation of the mandible.
- Class II elastics were used to retract labial proclined upper incisors, in order to help correct anterior deep overjet.
- Lower anterior teeth intrusion combined with lower premolars extrusion to help correct anterior deep overbite and level the curve of Spee.
- Power ridge design was used for both upper and lower incisors to help control axial inclination during retraction, as well as to prevent a gingival recession, alveolar dehiscence, and fenestration during orthodontic treatment
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