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

Elásticos: Classe II
,
 Nivelación de la curva de Spee
,
Intrusão
,
Expansão
,
IPR
Courtesy of Dr E. Rothier, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 18 meses

Número de alinhadores

  • Maxillary: 22 + 10 + 25 = 57
  • Mandibulary: 24 + 10 + 25 = 59

Aligner Wear time

  • 1 semana

Results achieved

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  • Normal overjet and overbite achieved
  • Linhas médias coincidentes
  •  Curva de Spee equilibrada
  • Alinhamento dos dois arcos através de derrotação
  • Todos os objetivos de tratamento foram casos alcançados

Comentários

  • Patient has a class II that was corrected with derotation of molars and posterior upper IPR in both sides, so we would need less use of attachments.
  • Intermaxillary elastics were used for anchorage control of space closure and retraction of 1.3 and 2.3.
  • Correction of overjet was obtained through posterior IPR and expansion to open space for retraction.
  • Correction of exaggerated overbite was obtained through incisor and lower canine intrusion.

Images

Initial and final

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upper
lower
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lower
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front
left

Progresso

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lower
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InicialFinais
Before picture of treatment
After picture of treatment
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Plano de tratamento ClinCheck

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Smartforce features

  • Power Ridge Feature on Buccal 4.1 (LR1), Buccal 3.2 (LL2)
  • Optimized Rotation Attachment (G3) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.5 (LR5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized Extrusion Attachment (G3) on Buccal 2.4 (UL4), Buccal 4.4 (LR4)
  • Optimized Root Control Attachments (G4) on Buccal 3.3 (LL3)
  • 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 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2)