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
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