Classe II Div 1
,
Aumento do trespasse horizontal
,
Retrognatismo mandibular
,
Open bite
,
Deep bite
,
Acavalamento
,
Rotações

Distalização
,
Mesialização
,
 Nivelación de la curva de Spee
,
Extrusão
,
Intrusão
,
Expansão
,
Retração
,
First premolar extraction
,
Fechamento do espaço
,
Elásticos: Classe II
,
Elásticos: Vertical
,
Extração
Courtesy of Dr B. Wang, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 23
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 23 meses

Número de alinhadores

  • Maxillary: 64 + 19 + 9 = 92
  • Mandibulary: 64 + 19 + 9 = 92

Aligner Wear time

  • 1 semana

Retenção

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  • Trespasse horizontal normal e sobremordida obtida
  • 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

  •  14, 24, 34, and 44 were extracted to help correct bimaxillary protrusion, maximum anchorage was designed for both upper and lower dental arches during space closure.
  • Vertical position control for both upper and lower molars were carried out during orthodontic treatment in order to prevent clockwise rotation of the mandible.
  • Class II elastics were used to retract labial proclined upper incisors, in order to help correct anterior deep overjet.
  • Lower anterior teeth intrusion combined with lower premolars extrusion to help correct anterior deep overbite and level the curve of Spee.
  • Power ridge design was used for both upper and lower incisors to help control axial inclination during retraction, as well as to prevent a gingival recession, alveolar dehiscence, and fenestration during orthodontic treatment

Images

Initial and final

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front
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lower
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front
left

Progresso

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lower
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InicialFinais
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finais
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