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

Avancée mandibulaire
,
Pre Mandibular advancement phase
,
Distalisation
,
 Nivellement de la courbe de Spee
,
Ingression
,
Expansion
,
Vestibulo-version
,
Élastiques : Classe II
Courtesy of Dr S. Alonso del Hoyo Cabetas, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 32 mois

Nombre d'aligners

  • Maxillary: 45 + 45 + 22 = 112
  • Mandibulary: 45 + 45 + 22 = 112

Aligner Wear time

  • The frequency of change varies

Rétention

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  • Relation de Classe I obtenue
  • Surplomb normal et recouvrement obtenu
  • Les axes médians coïncident
  • Curve of Spee leveled
  • Arcades alignées et coordonnées
  • Ligne de sourire esthétique obtenue  
  • Obtention d’arcades harmonieuses

Commentaires

  • In this class two case, a first batch of aligners were made with a pre-advance to protrude the upper incisors to create protrusion, correct the Spee curve and center the midlines.
  • Then, a mandibular advancement. At the end of this batch there was a class II on the left side and the overbite had not been completely corrected.
  • A distalization of the 2nd quadrant was requested (a microscrew as an anchor between 26 and 27), correction of the Spee curve and protrusion and torque of the upper incisors.
  • Class II elastics were used. The third batch of aligners was ordered for finishing details for overbite enhancement and individual tooth details.

Images

Initial and final

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

Le progrès

Click to compare enlarged
upper
lower
right
front
left
DébutFinal
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

Radiographies

Début Final
Click to compare enlarged400
Click to compare enlarged394