Clase II, div. 2
,
Resalte aumentado
,
Retrognatia mandibular
,
Deep bite
,
Arcadas estrechas
,
Apiñamiento
,
Rotaciones
,
Espaciado

Elastics: Class II in Additional Aligners
,
Avance mandibular
,
Pre Mandibular Advancement Phase
,
Leveling curve of Spee
,
Expansión
,
Retracción
,
Cierre de espacio
Courtesy of Dr. I. Gidarakou, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 12
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen with MA

Total Treatment Time

  • 17 meses

Cantidad de alineadores

  • Maxillary: 36 + 36 + 16 = 88
  • Mandibulary: 36 + 36 + 16 = 88

Aligner Wear time

  • 1 semana

Retencion

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Relación clase I conseguida
  • Guía funcional de caninos en ambos lados
  •  Mordida profunda mejorada
  • Coincidencia de líneas medias
  • Inclinación axial correcta de incisivos
  • Curve of Spee leveled
  • Arcadas alineadas y coordinadas
  • Aesthetic smile linewas achieved
  • Todos los objetivos del tratamiento se lograron en el caso
  • Se lograron arcadas armoniosas

Comentarios

  • Due to a slight Bolton discrepancy between the upper lateral incisors perfect Class I canine could not be achieved on the right side. The parents decided to not correct the spaces left on the distal of tooth 1.2
  • We made the clinical decision to align the midlines and compromise slightly on the final position of tooth 1.3
  • Class II mandibular retrognathism was treated with MA and mandibular protrusion
  • At the same time the curve of Spee was leveled and the arches were aligned
  • Class II elastics were used to finalize the occlusion and to maintain the Class II correction achieved with the Precision wings

Images

Initial and final

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

Radiografías

Inicial Finales
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