Classe II Div 2
,
Mordida profunda
,
Arcos estreitos
,
Mudança da linha média
,
Acavalamento

Elásticos: Classe II
,
Distalização
,
Extrusão
,
Intrusão
,
Expansão
,
Vestibularização
,
IPR

Tratamento em destaque

Dr M. Pedernera
Dr M. Pedernera
We would like to congratulate Dr. Pedernera with winning the 2018 EMEA Peer Review Awards!

Información del tratamiento

  • Idade: 25
  • Sexo: Fêmea
  • Opção de tratamento Invisalign: Full

Resumen del diagnóstico

  • Relação de div 2 e Classe II
  • Arcos estreitos
  • Mudança da linha média
  • Mordida profunda
  • Acavalamento

uso de

  • Distalização
  • Elásticos: Classe II
  • Nivelamento da curva de Spee
  • Expansão
  • Extrusão
  • Intrusão
  • Vestibularização
  • IPR
  • Power Ridge Feature on Buccal 3.1 (LL1)
  • Optimized Rotation Attachment (G3) on Buccal 1.4 (UR4), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 3.3 (LL3)
  • Multi-Tooth Extrusion Attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Precision Bite Ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
  • Pressure Areas (G5) on Lingual 4.2 (LR2)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
Courtesy of Dr M. Pedernera 2017
Award 2018 Peer Review Awards

Fotos

Click to compare enlarged
upper
Inicial
lower
right
front
left
Click to compare enlarged
upper
Finais
lower
right
front
left
Click to compare enlarged
upper
Progresso
lower
right
front
left

Radiografías

Plano de tratamento ClinCheck

video anterior
video right-left
video upper-lower
Download ADF files
Inicial
Alinhadores adicionais

Resumo do tratamento

Resultados conseguidos

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  • Trespasse horizontal normal e sobremordida obtida
  •  Mordida profunda melhorada
  • Linhas médias coincidentes
  • Inclinação axial adequada dos incisivos
  •  Curva de Spee equilibrada
  • Arcos alinhados e coordenados
  • Forma de arco melhorada
  • A linha de sorriso estético foi alcançada 
  • Todos os objetivos de tratamento foram casos alcançados
  • Os arcos harmônicos foram alcançados

Tempo total de tratamento

  • 19 meses

Número de alinhadores

  • Maxillary: 34 + 14 = 48
  • Mandibular: 26 + 14 = 40

Tempo de uso do alinhador

  • At the start of the treatment every 2 weeks, gradually changed to 1 week

Comentários

  • This case was an Advanced case and was a good challenge for me.
  • The main issue was to solve the crowding of the upper teeth and the high position of 1.2, as well correct the sagital problem.
  • My plan was to distalize the upper arch using the 1/2 protocol and moving a maximum of two teeth at the time, with an aesthetic beginning proclining the upper incisors.
  • For increased anchorage I used Class II elastics.
  • Also made expansion of both the upper and lower to improve the buccal corridors due to the narrow arches, at the same time in the first Clincheck I manage to create extrusion of 1.2.
  • In my opinion one of the important things in this case was taking the bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position.
  • This helped to reduce the number of aligners for the first stage.
  • The extraction of the four third molars was done before starting the treatment.
  • A very short phase of additional aligners was necessary to finish the treatment with a beautiful and functional occlusion.
  • The patients cooperation during the treatment was 10 out of 10.