Deep bite
,
Class II div 2
,
Aumento dell'overjet
,
Arcate strette
,
Arcate asimmetriche
,
Deviazione della linea mediana mascellare
,
Spostamento della linea mediana
,
Affollamento
,
Rotazioni

Elastici: Classe II
,
Distalizzazione
,
 Livellamento della curva di Spee
,
Intrusione
,
Espansione
,
Proclinazione
,
IPR
Courtesy of Dr M. Pedernera, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 22 mesi

Numero di aligner

  • Maxillary: 49 + 13 + 18 = 80
  • Mandibulary: 49 + 13 + 18 = 80

Aligner Wear time

  • 1settimana

Results achieved

  • Relazione di Classe I
  • Guida funzionale dei canini su entrambi i lati
  • Normal overjet and overbite achieved
  • Significant improvement ofoverbite
  • Linee mediane coincidenti
  • Curve of Spee leveled
  • Arcate allineate e coordinate
  • Miglioramento della forma dell’arcata
  • Aesthetic smile linewas achieved
  • Tutti gli obiettivi di trattamento sono stati raggiunti

Commenti

  • This case was very challenging for me because it had the most severe deep bite I've ever treated
  • This challenge includes a Severe Brachyfacial and Class II skeletal pattern
  • Significantly favorable is that the patient is very young and the retroclination of both upper and lower incisors will virtually improve the deep bite itself
  • My treatment plan was to expand both arches and de-rotating (especially the 1.6) to improve the patients narrow arches
  • Combined with distalization (aesthetic beginning) of the 1st quadrant.
  • Up to 4 teeth moving together to not only create the distalization of the 1st quadrant but increase anchorage and provoke proclination of the lower incisors
  • I used Class II elastics to increase the anchorage 3/16" 4 and 6 Oz - Nigh time wear
  • IPR was performed in order to minimize the necessity of distalization of the 1st quadrant.
  • Expansion of the lower arch (especially of the premolar area) and proclination of the lower incisors to align the anterior teeth and improve the deep bite
  • Note that in the pictures of intermediate stage I show how I did the intercuspation of the posterior sector by cutting of the molar part of the upper and lower aligner, placing buccal buttons in labial of 1st and 2nd molars using 1/8 6 Oz vertical elastics for 2 weeks

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progresso

Click to compare enlarged
upper
lower
right
front
left
InizialeFinale
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Le radiografie

Iniziale Finale
Click to compare enlarged396
Click to compare enlarged390