Clase II, div. 1
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Retrognatia mandibular
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Arcos assimétricos
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Desvio da linha média mandibular

 Nivelamento da curva de Spee
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Intrusión
Courtesy of Dr G. Thiesen, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 17
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 6 meses

Cantidad de alineadores

  • Maxillary: 27
  • Mandibulary: 27

Aligner Wear time

  • 1 semana

Results achieved

  • Relación clase I conseguida
  • Guía funcional de caninos en ambos lados
  • Normal overjet and overbite achieved
  • Mejora significativa del resalte
  • Coincidencia de líneas medias
  • Todos los objetivos del tratamiento se lograron en el caso
  • Se lograron arcadas armoniosas

Comentarios

  • Surgery-first approach: orthognathic surgery was done right after IPR and bonding all the attachments, a surgical splint was maintained in place for 14 days after surgery
  • After removing the surgical splint, the aligners were changed on a 5/day frequency and after 3 months on a weekly basis
  • The total treatment time was 6 months
  • During the orthodontic treatment the maxillary and mandibular dental arches were better aligned, and maxillary and mandibular incisor inclinations were improved
  • Ideal overbite was obtained by intruding the mandibular and maxillary anterior teeth which were moved asymmetrically to help to correct the cant in the occlusal plane (partially corrected by the orthognatic surgery)
  • Ideal overjet was obtained by the surgical mandibular advance, associated with the use of Class II elastics after that

Images

Initial and final

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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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