Class II div 2
,
Surplomb accru
,
Deep bite
,
Arcades asymétriques
,
Décalage de la ligne médiane maxillaire
,
Décalage de la ligne médiane mandibulaire
,
Décalage des lignes médianes
,
Encombrement
,
Rotations

Distalisation
,
Égression
,
Ingression
,
Expansion
,
Élastiques : Classe II
Courtesy of Dr S. Chieh Lin, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 23
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 20 mois

Nombre d'aligners

  • Maxillary: 33 + 19 = 52
  • Mandibulary: 20 + 19 = 39

Aligner Wear time

  • 10 days first round and 7 days in additional aligners

Results achieved

  • Relation de Classe I obtenue
  • Guidage fonctionnel des canines des deux côtés
  • Normal overjet and overbite achieved
  • Supraclusion améliorée
  • Surplomb amélioré
  • Significant improvement ofoverbite
  • Amélioration significative du surplomb
  • Les axes médians coïncident
  • Inclinaison axiale correcte des incisives
  • Courbe de Spee nivelée
  • Arcades alignées et coordonnées
  • Alignement des deux arcades par le biais d'une dérotation
  • Forme de l'arcade améliorée
  • Aesthetic smile linewas achieved
  • Cas dont les objectifs de traitement ont tous été atteints
  • Obtention d’arcades harmonieuses

Commentaires

  • This is a Class II div2 subdivision case combined with facial asymmetry.
  • The patient wanted a better smile and asked for correction of her gummy smile, deep bite, crowding and rotated teeth.
  • Due to her good lateral profile, I decided to do a treatment without extraction.
  • I designed sequential distalization over Q2, with an elastic jump at the end to correct Class II to Class I over L't side.
  • Gummy smile and deepbite are corrected by intrusion of upper and lower incisors.
  • 2.4 Rotation is corrected with optimized rotation attachment for 60 degree rotation.
  • L't side Class II elastics for anchorage and elastic jump.
  • Total Tx time is 20M.

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 enlarged396
Click to compare enlarged390