Clase II, div. 2
,
Mordida profunda
,
Arcadas estrechas
,
Desviación de la línea media
,
Apiñamiento

Elásticos: Clase II
,
Distalización
,
Extrusión
,
Intrusión
,
Expansión
,
Proclinación
,
IPR

Tratamiento destacado

We would like to congratulate Dr. Pedernera with winning the 2018 EMEA Peer Review Awards!

Informações do tratamento

  • Edad: 25
  • Sexo: Hembra
  • Opción de tratamiento Invisalign: Full

Resumo diagnóstico

  • Relación clase II, div. 2
  • Arcadas estrechas
  • Desviación de la línea media
  • Mordida profunda
  • Apiñamiento

uso de

  • Distalización
  • Elásticos: Clase II
  • Nivelación de la curva de Spee
  • Expansión
  • Extrusión
  • Intrusión
  • Proclinación
  • IPR
  • Power Ridge Feature on Buccal 3.1 (LL1)
  • Optimized Rotation Attachment (G3) on Buccal 1.4 (UR4), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 3.3 (LL3)
  • Multi-Tooth Extrusion Attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Precision Bite Ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
  • Pressure Areas (G5) on Lingual 4.2 (LR2)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
Courtesy of Dr M. Pedernera 2017
Award 2018 Peer Review Awards

Las fotos

Click to compare enlarged
upper
Inicial
lower
right
front
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Click to compare enlarged
upper
Finales
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front
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Click to compare enlarged
upper
Progreso
lower
right
front
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Radiografías

Plan de tratamiento ClinCheck

video anterior
video right-left
video upper-lower
Download ADF files
Inicial
Alineadores adicionales

Resumen de tratamiento

Resultados obtidos

  • Relación clase I conseguida
  • Guía funcional de caninos en ambos lados
  • Resalte y sobremordida normal conseguidos
  •  Mordida profunda mejorada
  • Coincidencia de líneas medias
  • Inclinación axial correcta de incisivos
  •  Curva de Spee nivelada
  • 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

Tiempo total de tratamiento

  • 19 meses

Cantidad de alineadores

  • Maxillary: 34 + 14 = 48
  • Mandibular: 26 + 14 = 40

Tiempo de uso del alineador

  • At the start of the treatment every 2 weeks, gradually changed to 1 week

Comentarios

  • This case was an Advanced case and was a good challenge for me.
  • The main issue was to solve the crowding of the upper teeth and the high position of 1.2, as well correct the sagital problem.
  • My plan was to distalize the upper arch using the 1/2 protocol and moving a maximum of two teeth at the time, with an aesthetic beginning proclining the upper incisors.
  • For increased anchorage I used Class II elastics.
  • Also made expansion of both the upper and lower to improve the buccal corridors due to the narrow arches, at the same time in the first Clincheck I manage to create extrusion of 1.2.
  • In my opinion one of the important things in this case was taking the bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position.
  • This helped to reduce the number of aligners for the first stage.
  • The extraction of the four third molars was done before starting the treatment.
  • A very short phase of additional aligners was necessary to finish the treatment with a beautiful and functional occlusion.
  • The patients cooperation during the treatment was 10 out of 10.