Clase II div. 1
,
Mordida cruzada anterior
,
Resalte aumentado
,
Retrognatismo mandibular
,
Deep bite
,
Arcadas estrechas
,
Apiñamiento
,
Rotaciones
,
Diastema

 Nivelado de la curva de Spee
,
Intrusión
,
Expansión
,
Retracción
,
Proinclinación
,
IPR
,
Tratamiento de fase I/Interceptivo
,
Tratamiento de fase II
,
Elásticos: Clase II
Courtesy of Dr A. Nayak, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 10
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Número de aligners

  • Maxillary: 28 + 22 + 23 = 73
  • Mandibulary: 28 + 22 + 23 = 73

Aligner Wear time

  • 10 días

Retencion

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Consecución de una relación de Clase I
  • Guía canina funcional en ambos lados
  • Mordida cruzada anterior corregida
  • Resalte normal y sobremordida conseguida
  • 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
  • Consecución de una línea de la sonrisa estética  
  • Todos los objetivos del tratamiento alcanzados
  • Se han conseguido arcadas armónicas

Comentarios

  • Arch expansion was the primary mode of gaining space. The aligner clearance was good enough to disclude the teeth during crossbite correction.
  • The patient was instructed to wear the aligners while eating during the crossbite correction.
  • The deciduous teeth shed in between the first round of aligners. Hence the second round was required to finish Phase 1.
  • The second phase began nearly 2 years later. Here again, expansion was achieved along with IPR in the anterior teeth to have stable contacts.
  • Vivera retainers (3 sets) were given to ensure the continued stability of the teeth.

Images

Initial and final

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upper
lower
right
front
left
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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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