Clase II div. 1
,
Mordida cruzada posterior
,
Resalte aumentado
,
Retrognatismo mandibular
,
Arcadas estrechas
,
Apiñamiento
,
Rotaciones

First premolar extraction
,
Leveling curve of Spee
,
Retracción
,
Elásticos: Clase II
Courtesy of Dr. Y. Shiohama, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 14
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 19 meses

Número de aligners

  • Maxillary: 37
  • Mandibulary: 37

Aligner Wear time

  • 2 semanas

Retencion

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Class II relationship maintained
  • Guía canina funcional en ambos lados
  • Mordida cruzada posterior corregida
  • Normal overjet and overbite achieved
  • Resalte mejorado
  • Mejora significativa del resalte
  • Inclinación axial adecuada de los incisivos
  • 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

  • To correct the severe overjet we extracted the upper First Premolars and then retracted the upper anterior with Class II elastics
  • To correct 7's scissor bite on both right and left sides we moved the upper 7 to lingual side with a strong torque on the lingual crown
  • Lower 7 raised up with Crown labial torque
  • We prefer to correct this in an early stage
  • We resolved the lower crowding by labial inclination of the anterior teeth
  • Curve of Spee leveled by Both Canine Intrusion and labial inclination of anterior teeth

Images

Initial and final

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