Classe II Div 1
,
Aumento do trespasse horizontal
,
Deep bite
,
Arcos estreitos
,
Arcadas asimétricas
,
Desviación de la línea media mandibular
,
Acavalamento
,
Rotações

Distalização
,
 Nivelación de la curva de Spee
,
Extrusão
,
Intrusão
,
Expansão
,
Retração
,
IPR
,
Elásticos: Classe II
Courtesy of Dr K. Sung Chung, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 51
  • Gender: female
  • Invisalign Submission Option: Invisalign Lite

Total Treatment Time

  • 10 meses

Número de alinhadores

  • Maxillary: 14 + 14 = 28
  • Mandibulary: 14 + 14 = 28

Aligner Wear time

  • Initial aligner changed at 2 weeks for a month then changed at 10 days interval.

Results achieved

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  • Significant improvement ofoverbite
  • Melhoria significativa do trespasse horizontal
  • Linhas médias coincidentes
  • Inclinação axial adequada dos incisivos
  • Curve of Spee leveled
  • Arcos alinhados e coordenados
  • Alinhamento dos dois arcos através de derrotação
  • Forma de arco melhorada
  • Aesthetic smile linewas achieved
  • Os arcos harmônicos foram alcançados

Comentários

  • Class II canine and molar relationships were corrected to class I relationship with distalization of upper molars and class II elastics
  • Overjet was significantly reduced by retraction of upper incisors
  • Deep bite was reduced by significant intrusion of upper and lower incisors and a slight extrusion of lower premolars
  • Bolton maxillary excess was decreased by performing IPR in the maxillary arch
  • Lip protrusion was reduced by retraction of upper incisors
  • A new implant crown was placed on 36 ( lower left first molar) after orthodontic treatment
  • The reason why clinical outcome didn't have an exact match with the ClinCheck is that I over-engineered ClinCheck plan, especially over-treated deep overbite in this case. Patient was very satisfied with the treatment outcome

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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