Class II div 2
,
Mordida cruzada posterior
,
Deep bite
,
Arcadas asimétricas
,
Desviación de la línea media maxilar
,
Desplazamiento de la línea media
,
Apiñamiento
,
Rotaciones

Distalización
,
 Nivelado de la curva de Spee
,
Extrusión
,
Intrusión
,
Expansión
,
Proinclinación
,
IPR
,
Elásticos: Clase II
,
Elastics: Class II in Additional Aligners
,
Elásticos: Vertical
Courtesy of Dr S. Okano, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 17
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 24 meses

Número de aligners

  • Maxillary: 54 + 25 + 15 = 94
  • Mandibulary: 52 + 25 + 13 = 90

Aligner Wear time

  • 1 semana

Retencion

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • Consecución de una relación de Clase I
  • Guía canina funcional en ambos lados
  • Mordida cruzada posterior corregida
  • Resalte normal y sobremordida conseguida
  • Mordida profunda mejorada
  • Mejora considerable de la sobremordida
  • Coincidente con líneas medias
  • Inclinación axial adecuada de los incisivos
  • Curve of Spee leveled
  • Arcadas alineadas y coordinadas
  • Alineación de dos arcadas mediante desrotación
  • Forma de la arcada mejorada
  • Consecución de una línea de la sonrisa estética  
  • Todos los objetivos del tratamiento alcanzados
  • Se han conseguido arcadas armónicas

Comentarios

  • Despite the fact that the roots of UR1 and UL1 were too short, we were able to minimize the damage by minimizing the amount of movement.
  • To improve scissors bite(UR4) and posterior crossbite (left side), we aligned and coordinated the arches, which proved to be very effective.
  • In initial aligners, sequential distalization was performed to improve Class II.
  • We continued using Class II elastics (3/16 inch, 4.5 OZ) in initial aligners.
  • Optimizing extrusion attachments for molars was effective for detailing on the left side molars.

Images

Initial and final

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front
left
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lower
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front
left

Progreso

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lower
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left
InicialFinal
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Final
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