Classe I
,
Aumento do trespasse horizontal
,
Retrognatismo mandibular
,
Deep bite
,
Arcos estreitos
,
Acavalamento

Avanço mandibular
,
Pre Mandibular advancement phase
,
Expansão
,
Tratamento da Fase II
Courtesy of Dr K. Sabapathy, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 10
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 22 meses

Aligner Wear time

  • 2 semanas

Retenção

  • Maxillary: Fixed/Bonded
  • 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
  • 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

1. Initial planning involved aligning and leveling the crowded upper and lower anteriors and opening of the deep bite. Also, had to wait for eruption of Upper 2nd Premolars during the initial phase
2. Refinement was planned as a second phase, which involved predominant mandibular advancement using aligner wings. Mandibular advancement to correct the retruded mandible would cause the class 1 molars to land in class 3 relation, so lower molar distalisation compensate mandibular advancement was planned in refinement.

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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