Class II div 2
,
Deep bite
,
Arcadas estrechas
,
Desplazamiento de la línea media
,
Apiñamiento

Elásticos: Clase II
,
Distalización
,
Extrusión
,
Intrusión
,
Expansión
,
Proinclinación
,
IPR
Courtesy of Dr M. Pedernera, 2017
Award 2018 Peer Review Awards
Before picture of treatment

Tratamiento destacado

Dr M. Pedernera

We would like to congratulate Dr. Pedernera with winning the 2018 EMEA Peer Review Awards!

Dr M. Pedernera

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 19 meses

Número de aligners

  • Maxillary: 34 + 14 = 48
  • Mandibulary: 26 + 14 = 40

Aligner Wear time

  • At the start of the treatment every 2 weeks, gradually changed to 1 week

Retencion

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Consecución de una relación de Clase I
  • Guía canina funcional en ambos lados
  • Normal overjet and overbite achieved
  • Mordida profunda mejorada
  • Coincidente con líneas medias
  • Inclinación axial adecuada de los incisivos
  • Curva de Spee nivelada
  • Arcadas alineadas y coordinadas
  • Forma de la arcada mejorada
  • Aesthetic smile linewas achieved
  • Todos los objetivos del tratamiento alcanzados
  • Se han conseguido arcadas armónicas

Comentarios

  • This case was an Advanced case and was a good challenge for me.
  • The main issue was to solve the crowding of the upper teeth and the high position of 1.2, as well correct the sagital problem.
  • My plan was to distalize the upper arch using the 1/2 protocol and moving a maximum of two teeth at the time, with an aesthetic beginning proclining the upper incisors.
  • For increased anchorage I used Class II elastics.
  • Also made expansion of both the upper and lower to improve the buccal corridors due to the narrow arches, at the same time in the first Clincheck I manage to create extrusion of 1.2.
  • In my opinion one of the important things in this case was taking the bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position.
  • This helped to reduce the number of aligners for the first stage.
  • The extraction of the four third molars was done before starting the treatment.
  • A very short phase of additional aligners was necessary to finish the treatment with a beautiful and functional occlusion.
  • The patients cooperation during the treatment was 10 out of 10.

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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InicialFinal
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Final
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