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
Before picture of treatment

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

Images

Initial and final

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lower
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front
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upper
lower
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front
left

Progreso

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lower
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InicialFinal
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Final
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