Classe II div 1
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Rétrognathie mandibulaire
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Arcades asymétriques
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Décalage de la ligne médiane mandibulaire

 Nivellement de la courbe de Spee
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Ingression
Courtesy of Dr G. Thiesen, 2019
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 6 mois

Nombre d'aligners

  • Maxillary: 27
  • Mandibulary: 27

Aligner Wear time

  • 1 semaine

Results achieved

  • Relation de Classe I obtenue
  • Guidage fonctionnel des canines des deux côtés
  • Normal overjet and overbite achieved
  • Amélioration significative du surplomb
  • Les axes médians coïncident
  • Cas dont les objectifs de traitement ont tous été atteints
  • Obtention d’arcades harmonieuses

Commentaires

  • Surgery-first approach: orthognathic surgery was done right after IPR and bonding all the attachments, a surgical splint was maintained in place for 14 days after surgery
  • After removing the surgical splint, the aligners were changed on a 5/day frequency and after 3 months on a weekly basis
  • The total treatment time was 6 months
  • During the orthodontic treatment the maxillary and mandibular dental arches were better aligned, and maxillary and mandibular incisor inclinations were improved
  • Ideal overbite was obtained by intruding the mandibular and maxillary anterior teeth which were moved asymmetrically to help to correct the cant in the occlusal plane (partially corrected by the orthognatic surgery)
  • Ideal overjet was obtained by the surgical mandibular advance, associated with the use of Class II elastics after that

Images

Initial and final

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Le progrès

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DébutFinal
Before picture of treatment
After picture of treatment
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Radiographies

Début Final
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