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

Distalización
,
Extrusión
,
Intrusión
,
Expansión
,
Elásticos: Clase II
Courtesy of Dr S. Chieh Lin, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 23
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 20 meses

Número de aligners

  • Maxillary: 33 + 19 = 52
  • Mandibulary: 20 + 19 = 39

Aligner Wear time

  • 10 days first round and 7 days in additional aligners

Results achieved

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

Comentarios

  • This is a Class II div2 subdivision case combined with facial asymmetry.
  • The patient wanted a better smile and asked for correction of her gummy smile, deep bite, crowding and rotated teeth.
  • Due to her good lateral profile, I decided to do a treatment without extraction.
  • I designed sequential distalization over Q2, with an elastic jump at the end to correct Class II to Class I over L't side.
  • Gummy smile and deepbite are corrected by intrusion of upper and lower incisors.
  • 2.4 Rotation is corrected with optimized rotation attachment for 60 degree rotation.
  • L't side Class II elastics for anchorage and elastic jump.
  • Total Tx time is 20M.

Images

Initial and final

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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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