Classe II Div 2
,
Aumento do trespasse horizontal
,
Retrognatismo mandibular
,
Deep bite
,
Arcos estreitos
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Acavalamento
,
Rotações
,
Pré-Restaurador

Distalização
,
 Nivelación de la curva de Spee
,
Extrusão
,
Intrusão
,
Expansão
,
Vestibularização
,
Outra extração
,
IPR
,
Elásticos: Classe II
Courtesy of Dr K. Fei Fong, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 17 meses

Número de alinhadores

  • Maxillary: 43 + 9 + 9 = 61
  • Mandibulary: 24 + 10 + 9 = 43

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
  • 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

  •  This is a very severe deep bite Class II div 2 case.
  •  18 was extracted to ensure that UR distalization could be performed smoothly.
  •  The lower anterior intrusion was done successfully to level the lower arch Curve of Spee and resolve deep bite problem. Sequential intrusion protocol was used to perform lower anterior intrusion.
  • 26 full zirconia crown was fabricated after aligner treatment.
  •  Both upper and lower esthetic crown lengthening was performed to increase clinical crown for better smile pattern.

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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