Classe II Div 2
,
Aumento do trespasse horizontal
,
Retrognatismo mandibular
,
Deep bite
,
Arcos estreitos
,
Arcadas asimétricas
,
Desviación de la línea media maxilar
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Acavalamento
,
Rotações

 Nivelación de la curva de Spee
,
Extrusão
,
Intrusão
,
Expansão
,
Retração
,
Vestibularização
,
IPR
,
Tratamento da Fase II
,
Elásticos: Classe II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr K. Malekian, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 31
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Número de alinhadores

  • Maxillary: 27 + 19 + 18 = 64
  • Mandibulary: 27 + 19 + 18 = 64

Aligner Wear time

  • Progressive Aligner change interval.14 Days- 10 Days- 7 Days

Retenção

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

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

  • Proclination of upper central teeth combined with retraction of upper lateral teeth was done in order to achieve nice esthetic upper incisor inclination and deep bite correction improved.
  • IPR was programmed (Clincheck plan) at lower left premolars in order to achieve space for lower left canine retraction and alignment.
  • Midline correction was planned regarding facial midline reference to be coincident with the dental midline. In this treatment, minimal IPR was planned at clincheck in order to move the upper midline to the left side and lower midline to the right side.
  • Class II elastics with aligner button cutouts were planned to achieve full class I molar and canine.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progresso

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lower
right
front
left
InicialFinais
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finais
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