Class II div 1
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Crowding

Mandibular advancement
,
Pre Mandibular advancement phase
,
Distalization
,
Expansion
,
Retraction
Courtesy of Dr K. Sabapathy, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 11
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Number of aligners

  • Maxillary: 90 + 40 = 130
  • Mandibulary: 90 + 40 = 130

Aligner Wear time

  • 1주

Retention

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

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

코멘트

1. Severe Crowding of Upper and Lower arches were de-crowded, leveled and aligned by gaining space by expansion. Significant amount of Molar Distalisation of 7 mm were achieved in uppers to convert the Class 2 Molar Relation to Class 1.
2. After completion of 1st phase, patient showed a mandibular retrusion. Thus on refinement phase, Mandibular advancement was achieved along with settling the occlusion to the advanced mandibular position.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

진행

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lower
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left
치료 전 초기최종
Before picture of treatment
After picture of treatment
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방사선 사진

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