Classe II Div 2
,
Aumento do trespasse horizontal
,
Retrognatismo mandibular
,
Deep bite
,
Arcos estreitos
,
Acavalamento
,
Rotações
,
Espaçamento

Avanço mandibular
,
Pre Mandibular advancement phase
,
 Nivelación de la curva de Spee
,
Expansão
,
Retração
,
Fechamento do espaço
,
Elastics: Class II in Additional Aligners
Courtesy of Dr. I. Gidarakou, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 12
  • Gender: male
  • Invisalign Submission Option: Invisalign Teen with MA

Total Treatment Time

  • 17 meses

Número de alinhadores

  • Maxillary: 36 + 36 + 16 = 88
  • Mandibulary: 36 + 36 + 16 = 88

Aligner Wear time

  • 1 semana

Retenção

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Relação de Classe I obtida
  • Orientação canina funcional em ambos os lados
  •  Mordida profunda melhorada
  • Linhas médias coincidentes
  • Inclinação axial adequada dos incisivos
  • Curve of Spee leveled
  • Arcos alinhados e coordenados
  • Aesthetic smile linewas achieved
  • Todos os objetivos de tratamento foram casos alcançados
  • Os arcos harmônicos foram alcançados

Comentários

  • Due to a slight Bolton discrepancy between the upper lateral incisors perfect Class I canine could not be achieved on the right side. The parents decided to not correct the spaces left on the distal of tooth 1.2
  • We made the clinical decision to align the midlines and compromise slightly on the final position of tooth 1.3
  • Class II mandibular retrognathism was treated with MA and mandibular protrusion
  • At the same time the curve of Spee was leveled and the arches were aligned
  • Class II elastics were used to finalize the occlusion and to maintain the Class II correction achieved with the Precision wings

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
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