Classe II Div 1
,
Deep bite
,
Arcos estreitos
,
Mudança da linha média

Distalização
,
 Nivelación de la curva de Spee
,
Intrusão
,
Expansão
,
Retração
,
IPR
,
TADs
,
Elastics: Class II in Additional Aligners
,
Elásticos: Vertical
Courtesy of Dr Y. Nien Shan, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 28
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 30 meses

Número de alinhadores

  • Maxillary: 20 + 65 + 8 = 93
  • Mandibulary: 20 + 37 + 8 = 65

Aligner Wear time

  • 1 semana

Retenção

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

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

  • The first series mainly expanded the arch, unlocked the mandible, and assured the real occlusion.
  • In the second series, we combined two Tads over the zygomatic area to distalize the upper and lower arch and the other two Tads for a correct gummy smile and occlusal plane canting.
  • During largely intruding and retracting upper dentition, we added a vertical jump and vertical elastic for the bite set.
  • In the end, used 8 more aligners for esthetic detailing.

Images

Initial and final

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front
left
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lower
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left

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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