Classe II Div 2
,
Retrognatismo mandibular
,
Deep bite
,
Arcadas asimétricas
,
Desviación de la línea media maxilar
,
Desviación de la línea media mandibular
,
Acavalamento
,
Rotações

Distalização
,
Leveling curve of Spee
,
Intrusão
,
Retração
,
Vestibularização
,
Elásticos: Classe II
Courtesy of Dr L. CLOSS, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 19
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Número de alinhadores

  • Maxillary: 55 + 14 = 69
  • Mandibulary: 55 + 10 = 65

Aligner Wear time

  • 1 semana

Retenção

  • Maxillary: Vivera retainer
  • Mandibular: Fixed/Bonded

Results achieved

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  •  Mordida profunda melhorada
  •  Trespasse horizontal melhorado
  • Inclinação axial adequada dos incisivos
  • Curve of Spee leveled
  • Arcos alinhados e coordenados
  • Forma de arco melhorada
  • A linha de sorriso estético foi alcançada  
  • Os arcos harmônicos foram alcançados

Comentários

-Class I molar and canines relationship achieved by distalization mechanics associated to IPR (Bolton discrepancy) and Cl II elastics. Extraction of 1.8,2.8,3.8 and 4.8 were required previous of treatment start)
- Normal overjet and overbite achieved - sequentialized mechanics for distalization and proclination of upper and lower incisors followed by intrusion of lower incisors
- Significant improvement of overbite - significant intrusion of lower incisors and upper incisors
- Midlines coincident - Shifting of upper midline by teeth movement , IPR on right side and Cl II elastics
-Proper axial inclination of incisors - proclination of anterior teeth followed by retraction
-Curve of Spee leveled - intrusion of lower and upper incisors;
-Correction of canted of oclusal plane by intrusion of upper right segment and extrusion of upper left segment

Arcos alinhados e coordenados
Forma de arco melhorada
Aesthetic smile lines achieved
Os arcos harmônicos foram alcançados

Images

Initial and final

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lower
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upper
lower
right
front
left

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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