Class II div 2
,
Deep bite
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Crowding

Mandibular advancement
,
Pre Mandibular advancement phase
,
Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
Elastics: Class II
Courtesy of Dr S. Alonso del Hoyo Cabetas, 2023
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 32개월

Number of aligners

  • Maxillary: 45 + 45 + 22 = 112
  • Mandibulary: 45 + 45 + 22 = 112

Aligner Wear time

  • The frequency of change varies

Retention

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved 
  • Harmonic arches were achieved

코멘트

  • In this class two case, a first batch of aligners were made with a pre-advance to protrude the upper incisors to create protrusion, correct the Spee curve and center the midlines.
  • Then, a mandibular advancement. At the end of this batch there was a class II on the left side and the overbite had not been completely corrected.
  • A distalization of the 2nd quadrant was requested (a microscrew as an anchor between 26 and 27), correction of the Spee curve and protrusion and torque of the upper incisors.
  • Class II elastics were used. The third batch of aligners was ordered for finishing details for overbite enhancement and individual tooth details.

Images

Initial and final

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

진행

Click to compare enlarged
upper
lower
right
front
left
치료 전 초기최종
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

방사선 사진

치료 전 초기 최종
Click to compare enlarged400
Click to compare enlarged394