Retrognatismo mandibular
,
Classe II Div 1
,
Aumento do trespasse horizontal
,
Espaçamento

Avanço mandibular
,
Elastics: Class II in Additional Aligners
,
Leveling curve of Spee
,
Extrusão

Tratamento em destaque

Dr. Quote: "Simultaneous tooth alignment and profile change in Class II teenagers can now be achieved by Invisalign Treatment with Mandibular Advancement Appliance. This case shows that suitable case selection with stepwise clincheck planning, close clinical monitoring together with patient’s compliance are the keys to the success of the treatment. "

Información del tratamiento

  • Idade: 12
  • Sexo: Fêmea
  • Opção de tratamento Invisalign: Invisalign Teen with MA

Resumen del diagnóstico

  • Classe II Div 1
  • Aumento do trespasse horizontal
  • Retrognatismo mandibular
  • Espaçamento

uso de

  • Extrusão
  •  Nivelación de la curva de Spee
  • Class II Elastics in Additional Aligners
  • Avanço mandibular
  • Optimized rotation attachment (G3) on Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 3.4 (LL4)
  • Optimized multiplane (G4) on Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 1.4 (UR4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.4 (LR4)
  • Precision wings brackets (MA)
Courtesy of Dr T. Lee 2019

Fotos

Click to compare enlarged
upper
Inicial
lower
right
front
left
Click to compare enlarged
upper
Finais
lower
right
front
left

Radiografías

Plano de tratamento ClinCheck

video anterior
video right-left
video upper-lower
Download ADF files
Inicial
Alinhadores adicionais

Resumo do tratamento

Resultados conseguidos

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  •  Trespasse horizontal melhorado
  • Melhoria significativa do trespasse horizontal
  • Linhas médias coincidentes
  • Curve of Spee leveled
  • Forma de arco melhorada
  • A linha de sorriso estético foi alcançada 
  • Todos os objetivos de tratamento foram casos alcançados

Tempo total de tratamento

  • 15 meses

Número de alinhadores

  • Maxillary: 32 + 20 = 52
  • Mandibular: 32 + 20 = 52

Tempo de uso do alinhador

  • 1 semana

Comentários

Overjet Reduction from 9mm to 2.5mm by Invisalign Mandibular Advancement Appliance:

  • 1) MA phase with 3 steps advancements - 1st advancement with stage 1-8, 2nd advancement with stage 9-16, 3rd advancement with stage 17-27
  • 2) Transition phase- stage 28-32
  • 3) Additional Aligners for refinement and settle of posterior occlusion with 20 active stage + Class II elastics.