Class II div 2
,
Articulé croisé postérieur
,
Deep bite
,
Arcades asymétriques
,
Décalage de la ligne médiane maxillaire
,
Décalage des lignes médianes
,
Encombrement
,
Rotations

Distalisation
,
 Nivellement de la courbe de Spee
,
Égression
,
Ingression
,
Expansion
,
Vestibulo-version
,
RIP
,
Élastiques : Classe II
,
Elastics: Class II in Additional Aligners
,
Élastiques : Vertical
Courtesy of Dr S. Okano, 2021
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 24 mois

Nombre d'aligners

  • Maxillary: 54 + 25 + 15 = 94
  • Mandibulary: 52 + 25 + 13 = 90

Aligner Wear time

  • 1 semaine

Rétention

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • Relation de Classe I obtenue
  • Guidage fonctionnel des canines des deux côtés
  • Articulé croisé postérieur corrigé
  • Surplomb normal et recouvrement obtenu
  • Supraclusion améliorée
  • Amélioration significative du recouvrement
  • Les axes médians coïncident
  • Inclinaison axiale correcte des incisives
  • Curve of Spee leveled
  • Arcades alignées et coordonnées
  • Alignement des deux arcades par le biais d'une dérotation
  • Forme de l'arcade améliorée
  • Ligne de sourire esthétique obtenue  
  • Cas dont les objectifs de traitement ont tous été atteints
  • Obtention d’arcades harmonieuses

Commentaires

  • Despite the fact that the roots of UR1 and UL1 were too short, we were able to minimize the damage by minimizing the amount of movement.
  • To improve scissors bite(UR4) and posterior crossbite (left side), we aligned and coordinated the arches, which proved to be very effective.
  • In initial aligners, sequential distalization was performed to improve Class II.
  • We continued using Class II elastics (3/16 inch, 4.5 OZ) in initial aligners.
  • Optimizing extrusion attachments for molars was effective for detailing on the left side molars.

Images

Initial and final

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Le progrès

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left
DébutFinal
Before picture of treatment
After picture of treatment
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Radiographies

Début Final
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