Clase II, div. 2
,
Resalte aumentado
,
Retrognatia mandibular
,
Deep bite
,
Arcadas estrechas
,
Arcos assimétricos
,
Desvio da linha média maxilar
,
Desvio da linha média mandibular
,
Desviación de la línea media
,
Apiñamiento
,
Rotaciones

 Nivelamento da curva de Spee
,
Extrusión
,
Intrusión
,
Expansión
,
Retracción
,
Proclinación
,
IPR
,
Tratamiento de fase II
,
Elásticos: Clase II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr K. Malekian, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 31
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Cantidad de alineadores

  • Maxillary: 27 + 19 + 18 = 64
  • Mandibulary: 27 + 19 + 18 = 64

Aligner Wear time

  • Progressive Aligner change interval.14 Days- 10 Days- 7 Days

Retencion

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Relación clase I conseguida
  •  Relación clase I mantenida
  • Guía funcional de caninos en ambos lados
  • Resalte y sobremordida normal conseguidos
  •  Mordida profunda mejorada
  •  Resalte mejorado
  • 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

  • Proclination of upper central teeth combined with retraction of upper lateral teeth was done in order to achieve nice esthetic upper incisor inclination and deep bite correction improved.
  • IPR was programmed (Clincheck plan) at lower left premolars in order to achieve space for lower left canine retraction and alignment.
  • Midline correction was planned regarding facial midline reference to be coincident with the dental midline. In this treatment, minimal IPR was planned at clincheck in order to move the upper midline to the left side and lower midline to the right side.
  • Class II elastics with aligner button cutouts were planned to achieve full class I molar and canine.

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
right
front
left
InicialFinales
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finales
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