Classe II Div 1
,
Retrognatismo mandibular
,
Open bite
,
Arcos estreitos
,
Desviación de la línea media maxilar
,
Acavalamento
,
Rotações

Distalização
,
Mesialização
,
Extrusão
,
Retração
,
Vestibularização
,
First premolar extraction
,
Outra extração
,
IPR
,
Elásticos: Classe II
Courtesy of Dr. C. Capan, 2020
Award 2021 Peer Review Award
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 29
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 26 months

Número de alinhadores

  • Maxillary: 56 + 16 = 72
  • Mandibulary: 56 + 16 + 10 = 82

Aligner Wear time

  • 15 days for the first 3 months, every 10 days for the rest and 7 days for the final aligners.

Retenção

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

Results achieved

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  • Trespasse horizontal normal e sobremordida obtida
  •  Trespasse horizontal melhorado
  • Melhoria significativa da sobremordida
  • Melhoria significativa do trespasse horizontal
  • Linhas médias coincidentes
  • Inclinação axial adequada dos incisivos
  • Arcos alinhados e coordenados
  • Alinhamento dos dois arcos através de derrotação
  • Forma de arco melhorada
  • A linha de sorriso estético foi alcançada  
  • Todos os objetivos de tratamento foram casos alcançados
  • Os arcos harmônicos foram alcançados

Comentários

  • Distalization was planned for the upper left arch and a combination of distalization and mesialization for the upper right arch
  • Class II elastics (6 1/2 oz 4.8mm heavy) were advised for night use only
  • At the end of the initial aligners, the closure of all extraction spaces was achieved
  • For midline correction the patient used class 2 elastics on the left side and class 3 elastics on the right side during the 2nd additional aligners phase
  • The patient's cooperation was so good that he used elastics for 24/7 instead of only during the night
  • This great patient cooperation made it possible to achieve midline and anterior-posterior corrections at aligner 16 rather than aligner 20
  • At the final refinement, IPR on lower anterior and extrusion of the upper anterior were planned for a better overbite and overjet relationship

Images

Initial and final

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lower
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front
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upper
lower
right
front
left

Progresso

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lower
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left
InicialFinais
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finais
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