Class II div 2
,
Retrognazia mandibolare
,
Deep bite
,
Arcate asimmetriche
,
Deviazione della linea mediana mascellare
,
Affollamento

Distalizzazione
,
 Livellamento della curva di Spee
,
Estrusione
,
Intrusione
,
Espansione
,
Overtreatment
,
Elastici: Classe II
Courtesy of Dr G. Thiesen, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 43
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 24 mesi

Numero di aligner

  • Maxillary: 87 + 29 = 116
  • Mandibulary: 87 + 29 = 116

Aligner Wear time

  • Weekly for most of the duration of treatment and twice a week during some period due to the use of accelerated devices

Ritenzione

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Relazione di Classe I
  • Guida funzionale dei canini su entrambi i lati
  • Overjet e overbite normali
  • Miglioramento significativo dell'overbite
  • Linee mediane coincidenti
  • Curve of Spee leveled
  • Arcate allineate e coordinate
  • Miglioramento della forma dell’arcata
  • Linea del sorriso estetica  
  • Tutti gli obiettivi di trattamento sono stati raggiunti

Commenti

  • Sequential distalization was done, associated with the use of Class II elastics. The sagittal jump accounted for 20% of the sagittal correction.
  • During the orthodontic treatment the maxillary and mandibular dental arches were aligned, and maxillary and mandibular incisor inclinations were improved.
  • Ideal overjet was obtained at the end of treatment.
  • Ideal overbite was obtained by intruding the mandibular anterior teeth mainly. For correction of the deep bite, leveling of the Curve of Spee was done initially, and only later lower IPR was performed.
  • Some vertical overcorrection was performed since proclination of the anterior teeth (relative intrusion) was not enough to level the severe Curve of Spee presented.
  • Gingival health has improved due to significant improvement of overbite.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left
InizialeFinale
Before picture of treatment
After picture of treatment
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Le radiografie

Iniziale Finale
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