Classe II Div 1
,
Aumento do trespasse horizontal
,
Open bite
,
Arcos estreitos
,
Mudança da linha média
,
Acavalamento
,
Rotações

Extrusão
,
Expansão
,
Vestibularização
,
IPR
,
Elásticos: Classe II
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 18 meses

Número de alinhadores

  • Maxillary: 35 + 18 = 53
  • Mandibulary: 35 + 19 = 54

Aligner Wear time

  • Progressive Aligner change interval.14 day -10 day-7 day.At Refinement 7 day change interval.

Retenção

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Relação de Classe I obtida
  •  Relação de Classe I mantida
  • Orientação canina funcional em ambos os lados
  • Normal overjet and overbite achieved
  •  Trespasse horizontal melhorado
  • Significant improvement ofoverbite
  • Melhoria significativa do trespasse horizontal
  • Linhas médias coincidentes
  • Inclinação axial adequada dos incisivos
  •  Curva de Spee equilibrada
  • Arcos alinhados e coordenados
  • Alinhamento dos dois arcos através de derrotação
  • Forma de arco melhorada
  • Aesthetic smile linewas achieved
  • Todos os objetivos de tratamento foram casos alcançados
  • Os arcos harmônicos foram alcançados

Comentários

  • Expansion: Maxilla and Mandible Arches.
  • Derotation of Upper First Molars.
  • Midline Centering: Space was achieved with the arch expansion and low IPR in order to move lower midline 2 mm to the left side and move upper midline 1.5 mm to the right side.
  • Buccal Torque was planned at upper and lower canine,premolars and molars in order to achieve a better aesthetic smile.
  • Open bite correction: Once upper and lower arches were expanded and aligned we placed multi-tooth .
  • Class II Elastics were used in order to achieve Class I molar and canine on the right side.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progresso

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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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