Clase II, div. 1
,
Resalte aumentado
,
Deep bite
,
Arcos assimétricos
,
Desvio da linha média maxilar
,
Desvio da linha média mandibular
,
Desviación de la línea media
,
Apiñamiento
,
Rotaciones

Elásticos: Clase II
,
 Nivelamento da curva de Spee
,
Intrusión
,
Retracción
,
First premolar extraction
,
Elastics: Class II in Additional Aligners
Courtesy of Dr. S. Chieh Lin, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 38 months

Cantidad de alineadores

  • Maxillary: 51 + 35 + 18 = 104
  • Mandibulary: 51 + 35 + 18 = 104

Aligner Wear time

  • 1 semana

Retencion

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Relación clase I conseguida
  • Guía funcional de caninos en ambos lados
  • Normal overjet and overbite achieved
  •  Resalte mejorado
  • Mejora significativa del resalte
  • Coincidencia de líneas medias
  • Inclinación axial correcta de incisivos
  • Curve of Spee leveled
  • 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

  • This is a Class II div1 malocclusion with large overjet, deep bite and lip protrusion case
  • We created space in the upper arch space with the extraction of the 1.4 and 2.4
  • Spaces were closed with maximum anchorage.
  • We created space in the lower arch with the extraction of the 3.5 and 4.5 to achieve Class I
  • Due to poor compliance during the initial aligner treatment, we still had a posterior open bite and molar mesial tilting
  • After the 2nd refinement we were able to improve the patient's profile and finish with an ideal occlusion

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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