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

Distalizzazione
,
Intrusione
,
Retrazione
,
First premolar extraction
,
Elastics: Class II in Additional Aligners
,
Elastici: Verticale
Courtesy of Dr. S. Okano, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 22
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 15 mesi

Numero di aligner

  • Maxillary: 68 + 22 = 90
  • Mandibulary: 65 + 22 = 87

Aligner Wear time

  • 5 days

Ritenzione

  • Maxillary: Invisalign aligner
  • Mandibular: Invisalign aligner

Results achieved

  • Relazione di Classe I
  • Class II relationship maintained
  • Guida funzionale dei canini su entrambi i lati
  • Normal overjet and overbite achieved
  • Significant improvement ofoverbite
  • Linee mediane coincidenti
  • Inclinazione assiale corretta degli incisivi
  • Arcate allineate e coordinate
  • Allineamento di entrambe le arcate attraverso la derotazione
  • Miglioramento della forma dell’arcata
  • Aesthetic smile linewas achieved
  • Tutti gli obiettivi di trattamento sono stati raggiunti
  • Armonizzazione delle arcate

Commenti

  • Through the extraction of first premolars, we resolved the crowding in both upper and lower arches and corrected the upper and lower dental midline
  • Distalization on the lower left molars to achieve Class II relationship
  • In the additional aligners, sequential distalization was performed to improve Class II
  • We continued using Class II elastics (3/16 inch, 4.5 or 6.5 OZ) in the additional aligners
  • Precision bite lamp was effective in preventing the vertical bowing effect of the anterior teeth
  • Vertical elastics were used on the left molar for detailing

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progresso

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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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