Classe II Div 1
,
Aumento do trespasse horizontal
,
Retrognatismo mandibular
,
Arcos estreitos
,
Arcadas asimétricas
,
Desviación de la línea media maxilar
,
Desviación de la línea media mandibular
,
Mudança da linha média
,
Acavalamento
,
Rotações

 Nivelación de la curva de Spee
,
Extrusão
,
Intrusão
,
Expansão
,
Retração
,
IPR
,
Elásticos: Classe II
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 39
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 16 meses

Número de alinhadores

  • Maxillary: 27 + 17 = 44
  • Mandibulary: 26 + 17 = 43

Aligner Wear time

  • 1.Progressive Aligner Change from 14 day-10 day Interval withTreatment Aligners////Refinement Additional Aligner 7 day change interval.No Acceleration Device .

Results achieved

  • Relação de Classe I obtida
  •  Relação de Classe I mantida
  • Orientação canina funcional em ambos os lados
  • Normal overjet and overbite achieved
  •  Mordida profunda melhorada
  •  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 :Premolar and Molar Expansion ( Upper and lower arch ).
  • Torque : Upper Premolar and Molar Torque was Programmed at Initial Treatment Clincheck Plan.
  • Retraction of Upper Anterior Teeth : Reduce Anterior Overjet./ IPR sites (0.3mm ): 1.3-1.2, 1.2-1.1, 1.1-2.1, 2.1-2.2. / IPR sites (0.2mm) : 2.2-2.3, 2.3-2.4.
  • Retraction of Lower Anterior Teeth: IPR Lower Incisors and Canines./ IPR sites (0.5mm) : 3.3-3.2, 3.2-3.1, 3.1-4.1, 4.1-4.2, 4.2-43.
  • Staging Clincheck Planing and Clinical Tracking : Tooth 11 required IPR Tracking Control and Aligner Fitness at Office Visits.
  • Class II Elastics : Precision Cuts Requested For Molars 3.6,4.6 : Button Bonding For Class II Elastics.
  • Virtual Elastic Jump Class II Molar and Canine Correction into Class I Molar and Canine.
  • Vivera Retainer Upper and Lower Arch ( 8 Hours- night wear ).
  • Profile Improvement : Due to Upper and Lower Anterior Retraction. Lower Lip Interposition with Upper Incisors was Corrected.

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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