Clase II div. 1
,
Mordida cruzada posterior
,
Resalte aumentado
,
Arcadas asimétricas
,
Desviación mandibular de la línea media
,
Desplazamiento de la línea media
,
Espaciado

Distalización
,
 Nivelado de la curva de Spee
,
Extrusión
,
Intrusión
,
Expansión
,
Retracción
,
IPR
,
Cierre de espacios
,
Elásticos: Clase II
,
Elásticos: Clase III
Courtesy of Dr V. Laoamata, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 17 meses

Número de aligners

  • Maxillary: 44 + 26 = 70
  • Mandibulary: 44 + 26 = 70

Aligner Wear time

  • 1 semana

Retencion

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Consecución de una relación de Clase I
  • Guía canina funcional en ambos lados
  • Mordida cruzada posterior corregida
  • Resalte normal y sobremordida conseguida
  • Resalte mejorado
  • Mejora considerable de la sobremordida
  • 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

  • Missing of lower canines made this case encountered Bolton's discrepancy problem.
  • Lower first premolars were used as the canine substitution and IPR was performed in lower anterior part to correct Bolton's discrepancy and be able to achieve Class I relationship with normal overjet and overbite.
  • Invisalign system is a good appliance for controlling anchorage, therefore distalization in upper arch to achieve Class I relationship position and lower posterior expansion to corrrect arch asymmetry and Brodie bite on the right side were done succesfully.

Images

Initial and final

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lower
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front
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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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