Class II div 2
,
Mordida cruzada posterior
,
Resalte aumentado
,
Retrognatismo mandibular
,
Deep bite
,
Arcadas estrechas
,
Apiñamiento

Avance mandibular
,
Distalización
,
 Nivelado de la curva de Spee
,
Intrusión
,
Expansión
,
Retracción
,
Elásticos: Clase II
Courtesy of Dr T. Xu, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 14
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen with MA

Total Treatment Time

  • 36 months

Número de aligners

  • Maxillary: 42 + 14 + 44 = 100
  • Mandibulary: 42 + 14 + 20 = 76

Aligner Wear time

  • 10 días

Retencion

  • Maxillary: Fixed/Bonded
  • 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
  • Mejora considerable de la sobremordida
  • Mejora significativa del resalte
  • Coincidente con líneas medias
  • 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

  •  Pre -MA stage: Align upper and lower teeth via expansion; Interactive elastics to correct second molars crossbite; lower incisors proclined to improve anterior deep bite.
  • MA stage: Mandibular advancement with class II elastics 4.5oz 3/4.
  • Sequential distalize upper molars to retract upper incisors;
    Improve deep bite: Lingual roots torque upper and lower incisors first, then sequential intrude upper and lower anterior; extrude lower premolars
  • Upper and lower fixed and Hawley's retainers for double retention

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progreso

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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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