Clase II, div. 1
,
Resalte aumentado
,
Apiñamiento
,
Rotaciones

 Nivelamento da curva de Spee
,
Intrusión
,
Retracción
,
First premolar extraction
,
Elásticos: Clase II
,
Extracción
Courtesy of Dr P. Nguyen, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 30
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 24 meses

Cantidad de alineadores

  • Maxillary: 67 + 27 + 11 = 105
  • Mandibulary: 67 + 27 + 11 = 105

Aligner Wear time

  • 1 semana

Retencion

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Relación clase I conseguida
  • Resalte y sobremordida normal conseguidos
  • Inclinación axial correcta de incisivos
  • Curve of Spee leveled
  • Arcadas alineadas y coordinadas
  • Se logró una línea de sonrisa estética  
  • Se lograron arcadas armoniosas

Comentarios

  • A case with bilateral congenitally missing mandibular incisors. I decided to remove the upper first premolars.
  • Maintaining maximum anchorage on the posterior segments.
  • Class II elastics were used to provide anchorage for the retraction of the upper anterior teeth.
  • IPR between lower teeth to support leveling the Curves of Spee, alignment, and rotation correction.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progreso

Click to compare enlarged
upper
lower
right
front
left
InicialFinales
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiografías

Inicial Finales
Click to compare enlarged398
Click to compare enlarged392