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

 Nivelación de la curva de Spee
,
Extrusão
,
Intrusão
,
Expansão
,
Retração
,
Extração do incisivo inferior
,
IPR
,
Fechamento do espaço
Courtesy of Dr V. Laoamata, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 41
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 15 meses

Número de alinhadores

  • Maxillary: 27 + 32 = 59
  • Mandibulary: 27 + 31 = 58

Aligner Wear time

  • 1 semana

Retenção

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  •  Relação de Classe II mantida
  • Orientação canina funcional em ambos os lados
  • Trespasse horizontal normal e sobremordida obtida
  •  Mordida profunda melhorada
  • Melhoria significativa da sobremordida
  • Inclinação axial adequada dos incisivos
  • Curve of Spee leveled
  • Arcos alinhados e coordenados
  • A linha de sorriso estético foi alcançada  
  • Todos os objetivos de tratamento foram casos alcançados
  • Os arcos harmônicos foram alcançados

Comentários

  • 4.2 was a hopeless tooth and planned for extraction.
  • Space closure with the Invisalign system was programmed by virtual gable bend to 4.3 and 4.1 for root parallelism after treatment finish.
  • IPR was performed in the upper anterior to solve Bolton's ratio discrepancy from the lower incisor extraction.
  • IPR in the lower arch was used to prevent dark triangles after the treatment was finished.
  • Precision bite ramps helped the intrusion of lower anterior teeth during the retraction phase.

Images

Initial and final

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

Inicial Finais
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