Classe II Div 1
,
Deep bite
,
Arcos estreitos
,
Arcadas asimétricas
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Acavalamento
,
Rotações
,
Espaçamento

Distalização
,
 Nivelación de la curva de Spee
,
Extrusão
,
Intrusão
,
Expansão
,
Retração
,
Vestibularização
,
IPR
,
Fechamento do espaço
,
Elásticos: Classe II
Courtesy of Dr K. Fei Fong, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 21 meses

Número de alinhadores

  • Maxillary: 63 + 15 = 78
  • Mandibulary: 30 + 15 = 45

Retenção

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  • Trespasse horizontal normal e sobremordida obtida
  •  Mordida profunda melhorada
  •  Trespasse horizontal melhorado
  • Melhoria significativa da sobremordida
  • Melhoria significativa do trespasse horizontal
  • Linhas médias coincidentes
  • Inclinação axial adequada dos incisivos
  • Curve of Spee leveled
  • 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

1. Early improvement is very important in this case, to encourage patient compliance and confidence.
2. Start from stage 1, upper arch posterior sequential distalization was done by using align default distalization. Also, for early improvement and reduce amount of aligners, upper 2-2 retraction was done by stage 1.
3. Class II elastics was started from stage 4 for upper arch distalization anchorage.
4. No TADs were inserted in the whole treatment.
5. Lower intrusion is one of the important movement in this case to correct deep bite, staged intrusion was designed and performed very well in this case.
6. COVID-19 didn't affect to this patient and treatment, she still can wear aligner at home and finish this case with beautiful smile finally.

Images

Initial and final

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Progresso

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InicialFinais
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finais
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