Classe II div 1
,
Surplomb accru
,
Arcades étroites
,
Décalage de la ligne médiane mandibulaire
,
Encombrement
,
Rotations

Restauratoire
,
Leveling curve of Spee
,
Égression
,
Ingression
,
Expansion
,
Rétraction
,
RIP
,
Implants

Informations relatives au traitement

  • Âge: 69
  • Sexe: Femelle
  • Option de traitement Invisalign: Invisalign Full

Synthèse du diagnostic

  • Classe II div 1
  • Surplomb accru
  • Arcades étroites
  • Décalage de la ligne médiane mandibulaire
  • Encombrement
  • Rotations

Utilisation de

  • Expansion
  • Égression
  • Ingression
  •  Nivellement de la courbe de Spee
  • Rétraction
  • RIP
  • De pré-restauration
  • Implants
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 1.3 (UR3), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 3.4 (LL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.5 (LR5)
  • Pressure areas (G5) on Lingual 2.1 (UL1), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
  • Optimized extrusion attachments for molars (G7+) on Buccal 3.5 (LL5)
Courtesy of Dr R. Loyer 2019

Photos

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

Plan de traitement ClinCheck

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

Résumé du traitement

Résultats atteints

  • Relation de Classe I maintenue
  • Class II relationship maintained
  • Surplomb normal et recouvrement obtenu
  • Amélioration significative du surplomb
  • Inclinaison axiale correcte des incisives
  • Curve of Spee leveled
  • 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

  • 9 mois

Nombre d'aligners

  • Maxillary: 19
  • Mandibular: 19

Durée de port des aligners

  • 2-weeks

Commentaires

  • This patient was formerly treated for her bruxism with the diagnosis of Cervico-Cranio-Mandibular Disorder
  • The final position of her mandibular bone was stable
  • We did expansion and bimaxillary arch correction
  • We created more lingual torque to superior incisors, vestibular torque to inferior incisors, intruded inferior incisors to improve the curve of Spee
  • We improved the superior and inferior canine interrelationship in order to reconstruct canine cusps in a later stage to obtain canine guidance
  • Our goal was to smoothen the sulcus of the inferior lip and chin and to close the nasal-labial angle to improve the patient's profile.
  • We wanted to obtain a right-side Class I dental relationship, but the patient was satisfied and didn't want to continue with Additional Aligners
  • She decided that for her age and condition, the initial treatment including the posterior canine cusp reconstruction was really good. The treatment surpassed her initial expectations

Rétention

  • Maxillary:
  • Mandibular: