Class II div 2
,
Rétrognathie mandibulaire
,
Deep bite
,
Arcades asymétriques
,
Décalage de la ligne médiane maxillaire
,
Encombrement

Distalisation
,
Leveling curve of Spee
,
Égression
,
Ingression
,
Expansion
,
Overtreatment
,
Élastiques : Classe II
Courtesy of Dr G. Thiesen, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 43
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 24 mois

Nombre d'aligners

  • Maxillary: 87 + 29 = 116
  • Mandibulary: 87 + 29 = 116

Aligner Wear time

  • Weekly for most of the duration of treatment and twice a week during some period due to the use of accelerated devices

Rétention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Relation de Classe I obtenue
  • Guidage fonctionnel des canines des deux côtés
  • Surplomb normal et recouvrement obtenu
  • Amélioration significative du recouvrement
  • Les axes médians coïncident
  • Curve of Spee leveled
  • Arcades alignées et coordonnées
  • Forme de l'arcade améliorée
  • Ligne de sourire esthétique obtenue  
  • Cas dont les objectifs de traitement ont tous été atteints

Commentaires

  • Sequential distalization was done, associated with the use of Class II elastics. The sagittal jump accounted for 20% of the sagittal correction.
  • During the orthodontic treatment the maxillary and mandibular dental arches were aligned, and maxillary and mandibular incisor inclinations were improved.
  • Ideal overjet was obtained at the end of treatment.
  • Ideal overbite was obtained by intruding the mandibular anterior teeth mainly. For correction of the deep bite, leveling of the Curve of Spee was done initially, and only later lower IPR was performed.
  • Some vertical overcorrection was performed since proclination of the anterior teeth (relative intrusion) was not enough to level the severe Curve of Spee presented.
  • Gingival health has improved due to significant improvement of overbite.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left
DébutFinal
Before picture of treatment
After picture of treatment
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Radiographies

Début Final
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