Classe II div 1
,
Articulé croisé postérieur
,
Surplomb accru
,
Rétrognathie mandibulaire
,
Deep bite
,
Arcades étroites
,
Rotations
,
Espacement

Mésialisation
,
 Nivellement de la courbe de Spee
,
Ingression
,
Rétraction
,
First premolar extraction
,
RIP
,
Fermeture d'espace
,
Elastics: Class II in Additional Aligners
Courtesy of Dr P. Nguyen, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Nombre d'aligners

  • Maxillary: 72 + 27 + 22 = 121
  • Mandibulary: 72 + 27 + 22 = 121

Aligner Wear time

  • 1 semaine

Rétention

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  • Relation de Classe I obtenue
  • Relation de Classe I maintenue
  • Amélioration significative du recouvrement
  • Amélioration significative du surplomb
  • 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

  • For patients with this kind of facial type and missing lower second premolar already: I removed the upper first premolar. Do maximum anchorage of upper molars and retraction of the upper anterior teeth .
  • Do upright and a small amount of mesial movement of lower molars
  • Derotation and distal movement of the lower first premolar.
  • Retraction and intrusion of lower anterior teeth to level Curve of Spee.
  • We used class II elastic in Additional Aligners
  • We finished with small class II canine and class I molar relationship

Images

Initial and final

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upper
lower
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front
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lower
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left

Le progrès

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

Début Final
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