Clase II div. 1
,
Arcadas asimétricas
,
Desviación de la línea media maxilar
,
Desviación mandibular de la línea media
,
Desplazamiento de la línea media
,
Apiñamiento
,
Rotaciones

Distalización
,
 Nivelado de la curva de Spee
,
Intrusión
,
Retracción
,
First premolar extraction
,
IPR
,
Extracción
Courtesy of Dr J. Weng, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: male
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 20 meses

Número de aligners

  • Maxillary: 45 + 15 = 60
  • Mandibulary: 33 + 10 = 43

Aligner Wear time

  • 10 días

Retencion

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class II relationship maintained
  • Guía canina funcional en ambos lados
  • Resalte normal y sobremordida conseguida
  • 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

  • This was an extraction case with 14/24/38/48 extracted.
  • I design maxillary strong anchorage to retract anterior teeth, and upper molars' mesial movement is controlled less than 2 mm.
  • In mandibular dentition, I design lower molar distalization for about 2mm to retract lower incisors and reduce the inclination of lower incisors.
  • Two mini-screws were used in the maxillary posterior region to enhance maxillary anchorage and help retract lower incisors.
  • Elastic traction is used between maxillary mini-screws and lower canines' precision cuts of lower align.

Images

Initial and final

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lower
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front
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Progreso

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InicialFinal
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Final
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