Classe II Div 2
,
Aumento do trespasse horizontal
,
Retrognatismo mandibular

Distalização
,
 Nivelación de la curva de Spee
,
Intrusão
,
Retração
,
IPR
,
TADs
,
Elásticos: Classe II
Courtesy of Dr J. Weng, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 30
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 29 meses

Número de alinhadores

  • Maxillary: 58 + 34 + 14 = 106
  • Mandibulary: 27 + 16 + 14 = 57

Aligner Wear time

  • 10 dias

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
  •  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 non-extraction case and I design upper molar distalization to improve anterior overjet.
  • Invisalign aligners have advantages on molar distalization. The upper left molars are distally moved by 2.5mm and the upper right molars are distally moved by 2.6mm. The upper incisors are retracted by 2.5mm.
  • Because the patient is skeletal Class II with mandibular retraction and high angle, I use TADs on maxillary molar area to strengthen anchorage and help intruding upper molars.
  • The mandibular plane rotates counterclockwise after treatment and the patient’s profile improved significantly.

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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