Clase II div. 1
,
Resalte aumentado
,
Retrognatismo mandibular
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Desviación mandibular de la línea media

Avance mandibular
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Pre Mandibular advancement phase
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Distalización
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 Nivelado de la curva de Spee
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Intrusión
,
Elastics: Class II in Additional Aligners
Courtesy of Dr L. Chen, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 10
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen with MA

Total Treatment Time

  • 19 meses

Número de aligners

  • Maxillary: 42 + 36 = 78
  • Mandibulary: 42 + 36 = 78

Aligner Wear time

  • 1 semana

Retencion

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Consecución de una relación de Clase I
  • Guía canina funcional en ambos lados
  • Resalte normal y sobremordida conseguida
  • Mordida profunda mejorada
  • Resalte mejorado
  • 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

  • This is a 10-year-old female patient with mixed dentition and Class II malocclusion.
  • The examinations show a skeletal Class II sagittal relationship, retrusion of the maxillary incisors, increased overjet, and deep bite.
  • In the first stage, 12 sets of aligners were used for alignment and leveling of dentition to prepare for mandibular advancement.
  • The 13th-42nd sets of aligners effectively guided the mandibular advancement, which solved the problem of mandibular retraction.
  • In the second stage, class II elastics were used to maintain the molar relationship.
  • Class I molar relationship was successfully established, and the normal OBOJ was obtained in the anterior teeth.
  • We successfully improved the mandibular dental midline deviation, and improve facial and smile esthetics.

Images

Initial and final

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

Inicial Final
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