Classe II div. 1
,
Aumento dell'overjet
,
Open bite
,
Arcate strette
,
Spostamento della linea mediana
,
Affollamento
,
Rotazioni

Distalizzazione
,
Estrusione
,
Intrusione
,
Espansione
,
IPR
,
Elastici: Classe II
Courtesy of Dr. R. Lie, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 14 mesi

Numero di aligner

  • Maxillary: 38 + 14 = 52
  • Mandibulary: 37 + 11 = 48

Aligner Wear time

  • 1settimana

Ritenzione

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Relazione di Classe I
  • Normal overjet and overbite achieved
  • Significant improvement ofoverbite
  • Miglioramento significativo dell'overjet
  • Linee mediane coincidenti
  • Inclinazione assiale corretta degli incisivi
  • Arcate allineate e coordinate
  • Miglioramento della forma dell’arcata
  • Aesthetic smile linewas achieved
  • Tutti gli obiettivi di trattamento sono stati raggiunti
  • Armonizzazione delle arcate

Commenti

  • The third molars were removed prior to commencement of treatment to eliminate the CO/CR discrepancy.
  • The Class II buccal relationship was corrected by sequential distalisation of the upper premolar and molar segments.
  • The anterior open bite was addressed through a combination of the intrusion of the posterior segments and relative extrusion of the upper anterior segments upon retraction after interproximal reduction (IPR) of the front teeth. Intrusion of the posterior segments was over-prescribed in order to obtain an over treatment effect.
  • Crowding of the anterior segments was achieved through staging of IPR to avoid unwanted or 'round-tripping' tooth movement.
  • The shaped of the arches was improved by expansion and rounding off.
    The patient was instructed to change aligner every 7 days during the whole treatment duration, and to wear heavy intra-oral Class II elastics during the distalisation stage.
  • Class II elastics was continued in the Refinement stage as a form of retention.

Images

Initial and final

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lower
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front
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lower
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front
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Progresso

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front
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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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