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

Distalización
,
Intrusión
,
Retracción
,
First premolar extraction
,
Elastics: Class II in Additional Aligners
,
Elásticos: Vertical
Courtesy of Dr. S. Okano, 2019
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 15 meses

Cantidad de alineadores

  • Maxillary: 68 + 22 = 90
  • Mandibulary: 65 + 22 = 87

Aligner Wear time

  • 5 days

Retencion

  • Maxillary: Invisalign aligner
  • Mandibular: Invisalign aligner

Results achieved

  • Relación clase I conseguida
  •  Relación clase II mantenida
  • Guía funcional de caninos en ambos lados
  • Normal overjet and overbite achieved
  • Significant improvement ofoverbite
  • 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

  • Through the extraction of first premolars, we resolved the crowding in both upper and lower arches and corrected the upper and lower dental midline
  • Distalization on the lower left molars to achieve Class II relationship
  • In the additional aligners, sequential distalization was performed to improve Class II
  • We continued using Class II elastics (3/16 inch, 4.5 or 6.5 OZ) in the additional aligners
  • Precision bite lamp was effective in preventing the vertical bowing effect of the anterior teeth
  • Vertical elastics were used on the left molar for detailing

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progreso

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upper
lower
right
front
left
InicialFinales
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finales
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