Clase II div. 1
,
Mordida cruzada posterior
,
Resalte aumentado
,
Retrognatismo mandibular
,
Deep bite
,
Arcadas estrechas
,
Rotaciones
,
Espaciado

Avance mandibular
,
Pre Mandibular advancement phase
,
Intrusión
,
Expansión
,
Cierre de espacios
,
Fase II: tratamiento no Invisalign
,
Elastics: Class II in Additional Aligners
Courtesy of Dr C. Ying Tsai, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 11
  • Gender: male
  • Invisalign Submission Option: Invisalign Teen with MA

Total Treatment Time

  • 29 meses

Número de aligners

  • Maxillary: 36 + 13 + 9 = 58
  • Mandibulary: 36 + 13 + 9 = 58

Aligner Wear time

  • 7-14 days

Retencion

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Consecución de una relación de Clase I
  • Mordida cruzada posterior corregida
  • Resalte normal y sobremordida conseguida
  • Mordida profunda mejorada
  • Resalte mejorado
  • Mejora significativa del resalte
  • Coincidente con líneas medias
  • Inclinación axial adecuada de los incisivos
  • Curve of Spee leveled
  • Arcadas alineadas y coordinadas
  • 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

 

  • We applied myofunctional therapy and myobrace before aligners. The overjet is reduced but still large, and posterior crossbite, rotation lateral incisors, spacing problems were not corrected by myobrace.
  • Mandibular Advancement with the Precision Wings was very useful for overjet improvement. Arch expansion and dental alignment are simultaneous during MA phase.
  • In the Additional Aligner phase, we applied class II elastics to maintain the molar and jaw relationship.

Images

Initial and final

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

Inicial Final
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