Classe II Div 1
,
Mordida cruzada posterior
,
Aumento do trespasse horizontal
,
Retrognatismo mandibular
,
Arcos estreitos
,
Acavalamento
,
Rotações

First premolar extraction
,
 Nivelación de la curva de Spee
,
Retração
,
Elásticos: Classe II
Courtesy of Dr. Y. Shiohama, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 14
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 19 meses

Número de alinhadores

  • Maxillary: 37
  • Mandibulary: 37

Aligner Wear time

  • 2 semanas

Retenção

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  •  Relação de Classe II mantida
  • Orientação canina funcional em ambos os lados
  • Mordida cruzada posterior corrigida
  • Normal overjet and overbite achieved
  •  Trespasse horizontal melhorado
  • Melhoria significativa do trespasse horizontal
  • Inclinação axial adequada dos incisivos
  • Arcos alinhados e coordenados
  • Forma de arco melhorada
  • Aesthetic smile linewas achieved
  • Todos os objetivos de tratamento foram casos alcançados
  • Os arcos harmônicos foram alcançados

Comentários

  • To correct the severe overjet we extracted the upper First Premolars and then retracted the upper anterior with Class II elastics
  • To correct 7's scissor bite on both right and left sides we moved the upper 7 to lingual side with a strong torque on the lingual crown
  • Lower 7 raised up with Crown labial torque
  • We prefer to correct this in an early stage
  • We resolved the lower crowding by labial inclination of the anterior teeth
  • Curve of Spee leveled by Both Canine Intrusion and labial inclination of anterior teeth

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left
InicialFinais
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finais