Classe II Div 1
,
Mordida cruzada posterior
,
Retrognatismo mandibular
,
Arcos estreitos
,
Acavalamento
,
Rotações

Avanço mandibular
,
 Nivelación de la curva de Spee
,
Extrusão
,
Intrusão
,
Retração
,
Elásticos: Vertical
Courtesy of Dr L. Closs, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Número de alinhadores

  • Maxillary: 49 + 18 = 67
  • Mandibulary: 49 + 18 = 67

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 cruzada posterior corrigida
  • Trespasse horizontal normal e sobremordida obtida
  • Inclinação axial adequada dos incisivos
  • Curve of Spee leveled
  • Alinhamento dos dois arcos através de derrotação
  • Forma de arco melhorada
  • Os arcos harmônicos foram alcançados

Comentários

  • A pre advancement phase was performed with 10 aligners to improve maxillary and mandibular arches and start correction of crowding;
  • Teeth 1.7 and 2.7 were tipped lingual while 3.7 and 4.7 were tipped buccal, in order to correct scissors crossbite;
  • Vertical control was performed by intrusion of posterior teeth, and auto-rotation of mandible;
  • Cl I relationship was achieved by 4 sets of mandibular advancement (2mm each);
  • Torque control of upper and lower incisors was performed while retraction of anterior teeth;
  • Additional aligners were used to improve posterior intercuspation aimed by vertical elastics - nighttime wear.

Images

Initial and final

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upper
lower
right
front
left

Progresso

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lower
right
front
left
InicialFinais
Before picture of treatment
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Radiografías

Inicial
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