Classe II Div 1
,
Aumento do trespasse horizontal
,
Deep bite
,
Arcos estreitos
,
Mudança da linha média
,
Acavalamento

 Nivelación de la curva de Spee
,
Intrusão
,
Expansão
,
Retração
,
First premolar extraction
,
IPR
,
Fechamento do espaço
,
TADs
,
Elásticos: Classe II
Courtesy of Dr S. Gong, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 24 meses

Número de alinhadores

  • Maxillary: 40 + 13 = 53
  • Mandibulary: 25 + 13 = 38

Aligner Wear time

  • 10 dias

Retenção

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  •  Relação de Classe II mantida
  • Orientação canina funcional em ambos os lados
  • Trespasse horizontal normal e sobremordida obtida
  • Inclinação axial adequada dos incisivos
  • Curve of Spee leveled
  • Arcos alinhados e coordenados
  • 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 typical skeletal Class II malocclusion treated by orthodontic camouflage, aiming at full Class II molars by extracting upper first premolars.
  •  Two upper first premolars were extracted to gain space for upper anterior teeth retraction.
  • IPR was used on lower anterior teeth to level the arch.
  • Two TADs were used to help intrusion and torque control of upper anterior teeth.
  • Clincheck is very useful in treatment planning for orthodontic camouflage and the result is predictable with smart track aligners.
  • Since the patient was very satisfied with the treatment outcome and the midline shift was not her concern, I did not ask for more additional aligners.

Images

Initial and final

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front
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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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