Class II div 2
,
Deepbite
,
Narrow arches
,
Midline shift
,
Crowding

Elastics: Class II
,
Distalization
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
IPR

スポットラ イト内の症例

Dr M. Pedernera
Dr M. Pedernera
We would like to congratulate Dr. Pedernera with winning the 2018 EMEA Peer Review Awards!

치료 정보

  • 연령: 25
  • 성: 여자
  • Invisalign 치료 옵션: Full

진단 요약

  • Class II div 2 relationship
  • Narrow Arches
  • Midline Shift
  • Deepbite
  • Crowding

사용

  • Distalization
  • Elastics: Class II
  • Levelling Curve of Spee
  • Expansion
  • Extrusion
  • Intrusion
  • Proclination
  • IPR
  • Power Ridge Feature on Buccal 3.1 (LL1)
  • Optimized Rotation Attachment (G3) on Buccal 1.4 (UR4), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 3.3 (LL3)
  • Multi-Tooth Extrusion Attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Precision Bite Ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
  • Pressure Areas (G5) on Lingual 4.2 (LR2)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
Courtesy of Dr M. Pedernera 2017
Award 2018 Peer Review Awards

사진들

Click to compare enlarged
upper
치료 전 초기
lower
right
front
left
Click to compare enlarged
upper
최종
lower
right
front
left
Click to compare enlarged
upper
진행
lower
right
front
left

방사선 사진

ClinCheck 치료 계획

video anterior
video right-left
video upper-lower

치료 요약

성취된 결과

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

총 치료 개월수

  • 19 개월

Number of aligners

  • Maxillary: 34 + 14 = 48
  • Mandibular: 26 + 14 = 40

얼라이너 착용 시간

  • At the start of the treatment every 2 weeks, gradually changed to 1 week

코멘트

  • This case was an Advanced case and was a good challenge for me.
  • The main issue was to solve the crowding of the upper teeth and the high position of 1.2, as well correct the sagital problem.
  • My plan was to distalize the upper arch using the 1/2 protocol and moving a maximum of two teeth at the time, with an aesthetic beginning proclining the upper incisors.
  • For increased anchorage I used Class II elastics.
  • Also made expansion of both the upper and lower to improve the buccal corridors due to the narrow arches, at the same time in the first Clincheck I manage to create extrusion of 1.2.
  • In my opinion one of the important things in this case was taking the bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position.
  • This helped to reduce the number of aligners for the first stage.
  • The extraction of the four third molars was done before starting the treatment.
  • A very short phase of additional aligners was necessary to finish the treatment with a beautiful and functional occlusion.
  • The patients cooperation during the treatment was 10 out of 10.

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera