Classe II Div 1
,
Deep bite
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Acavalamento

Distalização
,
 Nivelación de la curva de Spee
,
Extrusão
,
Intrusão
,
Retração
,
IPR
,
Elásticos: Classe II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr V. Laoamata, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 38
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 35 months

Número de alinhadores

  • Maxillary: 59 + 22 + 57 = 138
  • Mandibulary: 22 + 17 + 16 = 55

Aligner Wear time

  • 1 semana

Retenção

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  • Trespasse horizontal normal e sobremordida obtida
  •  Mordida profunda melhorada
  • 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
  • A linha de sorriso estético foi alcançada  
  • Todos os objetivos de tratamento foram casos alcançados
  • Os arcos harmônicos foram alcançados

Comentários

  • This is Class II division 1 case with severe crowding in lower anterior teeth.
  • Non-extraction protocol treatment was planned due to patient's soft tissue profile and anterior deep bite condition.
  • Sequential distalization was performed to achieve Class I molar and canine relationship. Class II elastic was served as an anchorage reinforcement.
  • No TADs were used in the treatment process. Unlike distalization with the fixed appliance system, at least 2 TADs were necessary for achieving the same treatment result with this case.

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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