Classe II Div 1
,
Aumento do trespasse horizontal
,
Acavalamento
,
Rotações

 Nivelación de la curva de Spee
,
Intrusão
,
Retração
,
First premolar extraction
,
Elásticos: Classe II
,
Extração
Courtesy of Dr P. Nguyen, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 30
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 24 meses

Número de alinhadores

  • Maxillary: 67 + 27 + 11 = 105
  • Mandibulary: 67 + 27 + 11 = 105

Aligner Wear time

  • 1 semana

Retenção

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Relação de Classe I obtida
  • Trespasse horizontal normal e sobremordida obtida
  • Inclinação axial adequada dos incisivos
  • Curve of Spee leveled
  • Arcos alinhados e coordenados
  • A linha de sorriso estético foi alcançada  
  • Os arcos harmônicos foram alcançados

Comentários

  • A case with bilateral congenitally missing mandibular incisors. I decided to remove the upper first premolars.
  • Maintaining maximum anchorage on the posterior segments.
  • Class II elastics were used to provide anchorage for the retraction of the upper anterior teeth.
  • IPR between lower teeth to support leveling the Curves of Spee, alignment, and rotation correction.

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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