Clase II div. 1
,
Mordida cruzada posterior
,
Retrognatismo mandibular
,
Arcadas estrechas
,
Apiñamiento
,
Rotaciones

Avance mandibular
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 Nivelado de la curva de Spee
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Extrusión
,
Intrusión
,
Retracción
,
Elásticos: Vertical
Courtesy of Dr L. Closs, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Número de aligners

  • Maxillary: 49 + 18 = 67
  • Mandibulary: 49 + 18 = 67

Aligner Wear time

  • 1 semana

Retencion

  • Maxillary: Vivera retainer
  • Mandibular: Fixed/Bonded

Results achieved

  • Consecución de una relación de Clase I
  • Guía canina funcional en ambos lados
  • Mordida cruzada posterior corregida
  • Resalte normal y sobremordida conseguida
  • Inclinación axial adecuada de los incisivos
  • Curve of Spee leveled
  • Alineación de dos arcadas mediante desrotación
  • Forma de la arcada mejorada
  • Se han conseguido arcadas armónicas

Comentarios

  • A pre advancement phase was performed with 10 aligners to improve maxillary and mandibular arches and start correction of crowding;
  • Teeth 1.7 and 2.7 were tipped lingual while 3.7 and 4.7 were tipped buccal, in order to correct scissors crossbite;
  • Vertical control was performed by intrusion of posterior teeth, and auto-rotation of mandible;
  • Cl I relationship was achieved by 4 sets of mandibular advancement (2mm each);
  • Torque control of upper and lower incisors was performed while retraction of anterior teeth;
  • Additional aligners were used to improve posterior intercuspation aimed by vertical elastics - nighttime wear.

Images

Initial and final

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upper
lower
right
front
left

Progreso

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lower
right
front
left
InicialFinal
Before picture of treatment
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Radiografías

Inicial
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