Clase II, div. 1
,
Resalte aumentado
,
Deep bite
,
Arcadas estrechas
,
Desviación de la línea media
,
Apiñamiento

 Nivelamento da curva de Spee
,
Intrusión
,
Expansión
,
Retracción
,
First premolar extraction
,
IPR
,
Cierre de espacio
,
TAD
,
Elásticos: Clase II
Courtesy of Dr S. Gong, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 24 meses

Cantidad de alineadores

  • Maxillary: 40 + 13 = 53
  • Mandibulary: 25 + 13 = 38

Aligner Wear time

  • 10 días

Retencion

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  •  Relación clase II mantenida
  • Guía funcional de caninos en ambos lados
  • Resalte y sobremordida normal conseguidos
  • 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 is a typical skeletal Class II malocclusion treated by orthodontic camouflage, aiming at full Class II molars by extracting upper first premolars.
  •  Two upper first premolars were extracted to gain space for upper anterior teeth retraction.
  • IPR was used on lower anterior teeth to level the arch.
  • Two TADs were used to help intrusion and torque control of upper anterior teeth.
  • Clincheck is very useful in treatment planning for orthodontic camouflage and the result is predictable with smart track aligners.
  • Since the patient was very satisfied with the treatment outcome and the midline shift was not her concern, I did not ask for more additional aligners.

Images

Initial and final

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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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