Class II div 2
,
Supraclusion
,
Arcades étroites
,
Décalage des lignes médianes
,
Encombrement

Élastiques : Classe II
,
Distalisation
,
Égression
,
Ingression
,
Expansion
,
Vestibulo-version
,
RIP

Traitement mis à l’honneur

Dr M. Pedernera
Dr M. Pedernera
We would like to congratulate Dr. Pedernera with winning the 2018 EMEA Peer Review Awards!

Informations relatives au traitement

  • Âge: 25
  • Sexe: Femelle
  • Option de traitement Invisalign: Full

Synthèse du diagnostic

  • Relation de Classe II, division 2
  • Arcades étroites
  • Décalage des lignes médianes
  • Supraclusion
  • Encombrement

Use of:

  • Distalisation
  • Élastiques : Classe II
  • Nivellement de la courbe de Spee
  • Expansion
  • Égression
  • Ingression
  • Vestibulo-version
  • RIP
  • Power Ridge Feature on Buccal 3.1 (LL1)
  • Optimized Rotation Attachment (G3) on Buccal 1.4 (UR4), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 3.3 (LL3)
  • Multi-Tooth Extrusion Attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Precision Bite Ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
  • Pressure Areas (G5) on Lingual 4.2 (LR2)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
Courtesy of Dr M. Pedernera 2017
Award 2018 Peer Review Awards

Photos

Click to compare enlarged
upper
Début
lower
right
front
left
Click to compare enlarged
upper
Final
lower
right
front
left
Click to compare enlarged
upper
Le progrès
lower
right
front
left

Radiographies

Plan de traitement ClinCheck

video anterior
video right-left
video upper-lower
Download ADF files
Début
Aligners supplémentaires

Résumé du traitement

Résultats atteints

  • Relation de Classe I obtenue
  • Guidage fonctionnel des canines des deux côtés
  • Surplomb normal et recouvrement obtenu
  • Supraclusion améliorée
  • Les axes médians coïncident
  • Inclinaison axiale correcte des incisives
  • Courbe de Spee nivelée
  • Arcades alignées et coordonnées
  • Forme de l'arcade améliorée
  • Ligne de sourire esthétique obtenue 
  • Cas dont les objectifs de traitement ont tous été atteints
  • Obtention d’arcades harmonieuses

Durée totale du traitement

  • 19 mois

Nombre d'aligners

  • Maxillary: 34 + 14 = 48
  • Mandibular: 26 + 14 = 40

Durée de port des aligners

  • At the start of the treatment every 2 weeks, gradually changed to 1 week

Commentaires

  • This case was an Advanced case and was a good challenge for me.
  • The main issue was to solve the crowding of the upper teeth and the high position of 1.2, as well correct the sagital problem.
  • My plan was to distalize the upper arch using the 1/2 protocol and moving a maximum of two teeth at the time, with an aesthetic beginning proclining the upper incisors.
  • For increased anchorage I used Class II elastics.
  • Also made expansion of both the upper and lower to improve the buccal corridors due to the narrow arches, at the same time in the first Clincheck I manage to create extrusion of 1.2.
  • In my opinion one of the important things in this case was taking the bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position.
  • This helped to reduce the number of aligners for the first stage.
  • The extraction of the four third molars was done before starting the treatment.
  • A very short phase of additional aligners was necessary to finish the treatment with a beautiful and functional occlusion.
  • The patients cooperation during the treatment was 10 out of 10.