Class II div 2
,
Resalte aumentado
,
Retrognatismo mandibular
,
Deep bite
,
Arcadas estrechas
,
Arcadas asimétricas
,
Desviación de la línea media maxilar
,
Desviación mandibular de la línea media
,
Desplazamiento de la línea media
,
Apiñamiento
,
Rotaciones

 Nivelado de la curva de Spee
,
Extrusión
,
Intrusión
,
Expansión
,
Retracción
,
Proinclinación
,
IPR
,
Tratamiento de fase II
,
Elásticos: Clase II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr K. Malekian, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 31
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Número de aligners

  • Maxillary: 27 + 19 + 18 = 64
  • Mandibulary: 27 + 19 + 18 = 64

Aligner Wear time

  • Progressive Aligner change interval.14 Days- 10 Days- 7 Days

Retencion

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Consecución de una relación de Clase I
  • Relación de Clase I mantenida
  • Guía canina funcional en ambos lados
  • Resalte normal y sobremordida conseguida
  • Mordida profunda mejorada
  • Resalte mejorado
  • Mejora considerable de la sobremordida
  • Mejora significativa del resalte
  • Coincidente con líneas medias
  • Inclinación axial adecuada de los incisivos
  • 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

  • Proclination of upper central teeth combined with retraction of upper lateral teeth was done in order to achieve nice esthetic upper incisor inclination and deep bite correction improved.
  • IPR was programmed (Clincheck plan) at lower left premolars in order to achieve space for lower left canine retraction and alignment.
  • Midline correction was planned regarding facial midline reference to be coincident with the dental midline. In this treatment, minimal IPR was planned at clincheck in order to move the upper midline to the left side and lower midline to the right side.
  • Class II elastics with aligner button cutouts were planned to achieve full class I molar and canine.

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

Inicial Final
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