Classe II Div 1
,
Aumento do trespasse horizontal
,
Retrognatismo mandibular
,
Deep bite
,
Arcos estreitos
,
Arcadas asimétricas
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Acavalamento

Distalização
,
 Nivelación de la curva de Spee
,
Extrusão
,
Intrusão
,
Expansão
,
Retração
,
IPR
,
Elásticos: Classe II
,
Elásticos: Classe III
Courtesy of Dr Q. Chen, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 11
  • Gender: male
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 23 meses

Número de alinhadores

  • Maxillary: 48 + 24 + 19 = 91
  • Mandibulary: 51 + 27 + 22 = 100

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
  •  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
  • 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

  • Invisalign is good for coordinated Bolton index caused by fused teeth.
  • The upper right first molar was moved distally 1mm.
  • Class II elastics were used to enhance maxillary anchorage and help retract upper incisors.
  • Normal over-jet was achieved after retraction of upper front teeth.
  • Mandibular retrognathia was corrected with class II elastics all through treatment.
  • The upper and lower arches were expanded by 1mm per side (posterior area).
  • The lower midline was adjusted.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InicialFinais
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiografías

Inicial Finais
Click to compare enlarged398
Click to compare enlarged392