Clase II div. 1
,
Resalte aumentado
,
Deep bite
,
Arcadas estrechas
,
Arcadas asimétricas
,
Desviación mandibular de la línea media
,
Apiñamiento
,
Rotaciones

Distalización
,
 Nivelado de la curva de Spee
,
Extrusión
,
Intrusión
,
Expansión
,
Retracción
,
IPR
,
Elásticos: Clase II
Courtesy of Dr K. Sung Chung, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 51
  • Gender: female
  • Invisalign Submission Option: Invisalign Lite

Total Treatment Time

  • 10 meses

Número de aligners

  • Maxillary: 14 + 14 = 28
  • Mandibulary: 14 + 14 = 28

Aligner Wear time

  • Initial aligner changed at 2 weeks for a month then changed at 10 days interval.

Results achieved

  • Consecución de una relación de Clase I
  • Guía canina funcional en ambos lados
  • Significant improvement ofoverbite
  • Mejora significativa del resalte
  • 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
  • Aesthetic smile linewas achieved
  • Se han conseguido arcadas armónicas

Comentarios

  • Class II canine and molar relationships were corrected to class I relationship with distalization of upper molars and class II elastics
  • Overjet was significantly reduced by retraction of upper incisors
  • Deep bite was reduced by significant intrusion of upper and lower incisors and a slight extrusion of lower premolars
  • Bolton maxillary excess was decreased by performing IPR in the maxillary arch
  • Lip protrusion was reduced by retraction of upper incisors
  • A new implant crown was placed on 36 ( lower left first molar) after orthodontic treatment
  • The reason why clinical outcome didn't have an exact match with the ClinCheck is that I over-engineered ClinCheck plan, especially over-treated deep overbite in this case. Patient was very satisfied with the treatment outcome

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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