Clase II, div. 2
,
Resalte aumentado
,
Open bite
,
Arcos assimétricos
,
Desvio da linha média mandibular
,
Desviación de la línea media
,
Apiñamiento
,
Rotaciones

Distalización
,
Extrusión
,
Expansión
,
Elásticos: Clase III
,
Elásticos: Vertical
Courtesy of Dr. S. Okano, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 22
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 18 meses

Cantidad de alineadores

  • Maxillary: 23 + 51 = 74
  • Mandibulary: 23 + 51 = 74

Aligner Wear time

  • 5 - 7 days

Results achieved

  • Relación clase I conseguida
  • Guía funcional de caninos en ambos lados
  • Normal overjet and overbite achieved
  •  Resalte mejorado
  • Significant improvement ofoverbite
  • Mejora significativa del resalte
  • Coincidencia de líneas medias
  • Inclinación axial correcta de incisivos
  • Arcadas alineadas y coordinadas
  • Alineación de ambas arcadas a través de desrrotación
  • Forma de la arcada mejorada
  • Aesthetic smile linewas achieved
  • Todos los objetivos del tratamiento se lograron en el caso
  • Se lograron arcadas armoniosas

Comentarios

  • To improve the open bite we aligned and coordinated the arches, which proved to be very effective
  • The initial treatment plan aimed at mandibular advancement to improve Class II
  • The rotations solved the occlusal interference
  • To further improve Class II we used sequential distalization in the additional aligners
  • We continued using Class II elastics (3/16 inch, 4.5 or 6.5 OZ)  from stage 1 in the additional aligners

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 enlarged396
Click to compare enlarged390