Classe II div. 1
,
Deep bite
,
Arcate strette
,
Arcate asimmetriche
,
Deviazione della linea mediana mandibolare
,
Spostamento della linea mediana
,
Affollamento
,
Rotazioni
,
Spaziatura

Distalizzazione
,
 Livellamento della curva di Spee
,
Estrusione
,
Intrusione
,
Espansione
,
Retrazione
,
Proclinazione
,
IPR
,
Chiusura degli spazi
,
Elastici: Classe II
Courtesy of Dr K. Fei Fong, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 21 mesi

Numero di aligner

  • Maxillary: 63 + 15 = 78
  • Mandibulary: 30 + 15 = 45

Ritenzione

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Relazione di Classe I
  • Guida funzionale dei canini su entrambi i lati
  • Overjet e overbite normali
  • Miglioramento del morso profondo
  • Miglioramento dell'overjet
  • Miglioramento significativo dell'overbite
  • Miglioramento significativo dell'overjet
  • Linee mediane coincidenti
  • Inclinazione assiale corretta degli incisivi
  • Curve of Spee leveled
  • Arcate allineate e coordinate
  • Allineamento di entrambe le arcate attraverso la derotazione
  • Miglioramento della forma dell’arcata
  • Linea del sorriso estetica  
  • Tutti gli obiettivi di trattamento sono stati raggiunti
  • Armonizzazione delle arcate

Commenti

1. Early improvement is very important in this case, to encourage patient compliance and confidence.
2. Start from stage 1, upper arch posterior sequential distalization was done by using align default distalization. Also, for early improvement and reduce amount of aligners, upper 2-2 retraction was done by stage 1.
3. Class II elastics was started from stage 4 for upper arch distalization anchorage.
4. No TADs were inserted in the whole treatment.
5. Lower intrusion is one of the important movement in this case to correct deep bite, staged intrusion was designed and performed very well in this case.
6. COVID-19 didn't affect to this patient and treatment, she still can wear aligner at home and finish this case with beautiful smile finally.

Images

Initial and final

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Progresso

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InizialeFinale
Before picture of treatment
After picture of treatment
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Le radiografie

Iniziale Finale
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