Class II div 2

Avance mandibular
,
Pre Mandibular advancement phase
,
Elastics: Class II in Additional Aligners
Courtesy of Dr K. Kalra, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 12
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 26 months

Número de aligners

  • Maxillary: 64 + 22 + 9 = 95
  • Mandibulary: 64 + 22 + 9 = 95

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

Comentarios

  • Patient visited the clinic with the main concern irregular front teeth. On examination patient had a orthognathic maxilla and a retrognathic mandible, patient had half cusp class II molar relation on both sides, deep bite and retroclined upper right central incisor, restricting the growth of mandible.
  • 1st set of aligners consisted of prefunctional alignement to gain overjet- followed by progressive mandibular advancement.
  • After 1st set of aligner, overjet and molar correction was achieved and 3 point contact in anterior and molars was achieved.
  • 1st refinement was focused on midline correction and bite settling to allow posterior eruption. at the end of 1st refinement, midlines were corrected and some posterior eruption achieved. In 2nd refinement bite settling was done

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progreso

Click to compare enlarged
upper
lower
right
front
left
InicialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiografías

Inicial Final
Click to compare enlarged398
Click to compare enlarged392