Clase II div. 1
,
Retrognatismo mandibular
,
Arcadas asimétricas
,
Desviación mandibular de la línea media

 Nivelado de la curva de Spee
,
Intrusión
Courtesy of Dr G. Thiesen, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 17
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 6 meses

Número de aligners

  • Maxillary: 27
  • Mandibulary: 27

Aligner Wear time

  • 1 semana

Results achieved

  • Consecución de una relación de Clase I
  • Guía canina funcional en ambos lados
  • Normal overjet and overbite achieved
  • Mejora significativa del resalte
  • Coincidente con líneas medias
  • Todos los objetivos del tratamiento alcanzados
  • Se han conseguido arcadas armónicas

Comentarios

  • Surgery-first approach: orthognathic surgery was done right after IPR and bonding all the attachments, a surgical splint was maintained in place for 14 days after surgery
  • After removing the surgical splint, the aligners were changed on a 5/day frequency and after 3 months on a weekly basis
  • The total treatment time was 6 months
  • During the orthodontic treatment the maxillary and mandibular dental arches were better aligned, and maxillary and mandibular incisor inclinations were improved
  • Ideal overbite was obtained by intruding the mandibular and maxillary anterior teeth which were moved asymmetrically to help to correct the cant in the occlusal plane (partially corrected by the orthognatic surgery)
  • Ideal overjet was obtained by the surgical mandibular advance, associated with the use of Class II elastics after that

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progreso

Click to compare enlarged
upper placeholder
lower placeholder
right placeholder
front placeholder
left placeholder
InicialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiografías

Inicial Final
Click to compare enlarged396
Click to compare enlarged390