Clase II div. 1, Resalte aumentado, Retrognatismo mandibular, Open bite, Deep bite, Apiñamiento, Rotaciones
Distalización
, Mesialización
, Nivelado de la curva de Spee
, Extrusión
, Intrusión
, Expansión
, Retracción
, First premolar extraction
, Cierre de espacios
, Elásticos: Clase II
, Elásticos: Vertical
, Extracción
Courtesy of Dr B. Wang,
2021
Treatment Summary
Patient Information
- Age: 23
- Gender: female
- Invisalign Submission Option: Invisalign Full
Total Treatment Time
- 23 meses
Número de aligners
- Maxillary: 64 + 19 + 9 = 92
- Mandibulary: 64 + 19 + 9 = 92
Aligner Wear time
- 1 semana
Retencion
- Maxillary: Hawley
- Mandibular: Hawley
Results achieved
- Consecución de una relación de Clase I
- Guía canina funcional en ambos lados
- Resalte normal y sobremordida conseguida
- Mejora significativa del resalte
- Coincidente con líneas medias
- Inclinación axial adecuada de los incisivos
- Curve of Spee leveled
- Arcadas alineadas y coordinadas
- Consecución de una línea de la sonrisa estética
- Todos los objetivos del tratamiento alcanzados
- Se han conseguido arcadas armónicas
Comentarios
- 14, 24, 34, and 44 were extracted to help correct bimaxillary protrusion, maximum anchorage was designed for both upper and lower dental arches during space closure.
- Vertical position control for both upper and lower molars were carried out during orthodontic treatment in order to prevent clockwise rotation of the mandible.
- Class II elastics were used to retract labial proclined upper incisors, in order to help correct anterior deep overjet.
- Lower anterior teeth intrusion combined with lower premolars extrusion to help correct anterior deep overbite and level the curve of Spee.
- Power ridge design was used for both upper and lower incisors to help control axial inclination during retraction, as well as to prevent a gingival recession, alveolar dehiscence, and fenestration during orthodontic treatment