Classe II Div 2
,
Mordida cruzada posterior
,
Deep bite
,
Arcadas asimétricas
,
Desviación de la línea media maxilar
,
Acavalamento
,
Rotações

 Nivelación de la curva de Spee
,
Expansão
,
Retração
,
IPR
Courtesy of Dr D. Raickovic, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 9 meses

Número de alinhadores

  • Maxillary: 27
  • Mandibulary: 35

Aligner Wear time

  • 1 semana

Retenção

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  • Mordida cruzada posterior corrigida
  •  Mordida profunda melhorada
  •  Trespasse horizontal melhorado
  • 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

  • In the upper arch expansion + derotation of canines and incisors with sequence of derotation, I included in sequence of round tripping to make it more predictable.
  • After derotation IPR + intrusion + retrusion + palatal root torque.
  • In lower arch expansion + derotation of premolars to open space necessary for correction of whole crown crossbite (scissor-bite) of teeth 1.4, 4.4. Proclination + intrusion of lower incisors together with expansion and derotation of lower canines (rotated by 50 degrees).
  • With the sequence of round tripping of lower incisors and canines and integration of rotation at the same time, I de-rotated lower incisors and canines.
  • After derotation followed intrusion + retrusion + lingual root torque.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left
InicialFinais
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finais
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