Clase II, div. 1
,
Mordida cruzada posterior
,
Resalte aumentado
,
Retrognatia mandibular
,
Arcadas estrechas
,
Apiñamiento
,
Rotaciones

First premolar extraction
,
 Nivelamento da curva de Spee
,
Retracción
,
Elásticos: Clase II
Courtesy of Dr. Y. Shiohama, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 14
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 19 meses

Cantidad de alineadores

  • Maxillary: 37
  • Mandibulary: 37

Aligner Wear time

  • 2 semanas

Retencion

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  •  Relación clase II mantenida
  • Guía funcional de caninos en ambos lados
  • Mordida cruzada posterior corregida
  • Normal overjet and overbite achieved
  •  Resalte mejorado
  • Mejora significativa del resalte
  • Inclinación axial correcta de incisivos
  • Arcadas alineadas y coordinadas
  • 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 correct the severe overjet we extracted the upper First Premolars and then retracted the upper anterior with Class II elastics
  • To correct 7's scissor bite on both right and left sides we moved the upper 7 to lingual side with a strong torque on the lingual crown
  • Lower 7 raised up with Crown labial torque
  • We prefer to correct this in an early stage
  • We resolved the lower crowding by labial inclination of the anterior teeth
  • Curve of Spee leveled by Both Canine Intrusion and labial inclination of anterior teeth

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InicialFinales
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finales