Class II div 2
,
Morso profondo
,
Arcate strette
,
Arcate asimmetriche
,
Deviazione della linea mediana mascellare
,
Deviazione della linea mediana mandibolare
,
Affollamento
,
Rotazioni
,
Impacted canines

Elastici: Classe II
,
Distalizzazione
,
Leveling curve of Spee
,
Proclinazione
,
IPR

Informazioni sul trattamento

  • Età: 11
  • Sesso: maschio
  • Opzione di trattamento Invisalign: Invisalign Teen

Riepilogo diagnostico

  • Class II div 2
  • Arcate strette
  • Deviazione della linea mediana mandibolare
  • Deviazione della linea mediana mascellare
  • Morso profondo
  • Affollamento
  • Rotazioni
  • Arcate asimmetriche
  • Impacted canines

Use of:

  • Distalizzazione
  •  Livellamento della curva di Spee
  • Proclinazione
  • IPR
  • Elastici: Classe II
  • Reverse cross elastics
  • Optimized rotation attachment (G3) on Lingual 2.3 (UL3)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 2.1 (UL1)
  • Optimized deepbite attachments activated for premolar extrusion (G5) on Lingual 1.4 (UR4), Lingual 2.4 (UL4)
  • Precision bite ramp (G5) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1)
Courtesy of Dr M. Masoud 2019
Award 2018 Summit Shoot out

Fotografie

Click to compare enlarged
upper
Iniziale
lower
right
front
left
Click to compare enlarged
upper
Finale
lower
right
front
left
Click to compare enlarged
upper
Progresso
lower
right
front
left

Le radiografie

Piano di trattamento ClinCheck

video anterior
video right-left
video upper-lower

Sommario del trattamento

Risultati ottenuti

  • Relazione di Classe I
  • Overjet e overbite normali
  • Miglioramento del morso profondo
  • Miglioramento dell'overjet
  • Linee mediane coincidenti
  • Curva di Spee livellata
  • 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

Tempo totale di trattamento

  • 20 mesi

Numero di aligner

  • Maxillary: 45 + 33 + 11 = 89
  • Mandibular: 45 + 33 + 11 = 89

Tempo di utilizzo degli aligner

  • 1settimana

Commenti

  • This patient lives on a boat, spending most of her time in the middle of the ocean with no access to care.
  • The patient is the daughter of explorers on a global climate mission and lives on a 50 foot aluminum sailboat traveling around the world climbing the highest peak on each continent.
  • She had a concussion and multiple traumatic injuries to her upper central incisors due to her activities on the boat in severe weather.
  • During the course of treatment she was caught in a storm and their sailboat/home was wrecked and the family had to be rescued.
  • The crowding, lip retrusion, and incisor retro-clination were addressed by dental expansion and advancement of the upper and lower incisors.
  • The patient had an upper right canine that was much more labial displaced than the left one. That was the same side that had a lingual displaced lower left first premolar
  • Both teeth had button cut outs and the patient used reverse cross elastics from the buccal of the upper right canine to the lingual of the lower right first premolar
  • The bite was opened by A) proclining the upper and lower teeth, B)Anterior bite turbos allowing posterior eruption in the presence of ramus growth (Relative Intrusion)
  • The elastics and the dis-occlusion helped the mandible grow favorably.
  • More space was opened on the right side to help make space for the impacted teeth on the right side and shift both mid lines to the left.
  • Power ridges were used to control the inclination of the upper and lower incisors.
  • Additional upper spaces were opened around the upper lateral incisors to allow for upper lateral incisor buildups.
  • The Initial round of aligners was discontinued at aligner 45 (out of 62) because multiple primary teeth had exfoliated and we wanted to to start the refinement before her next mission.
  • Two refinements (additional aligners) were needed to achieve the treatment goals.