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
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