Class II div 2
,
Mandibular Retrognati
,
Deep bite
,
Asimetrik arklar
,
Maksiller orta hat sapması
,
Çapraşıklık

Distalizasyon
,
Leveling curve of Spee
,
Ektrüzyon
,
İntrüzyon
,
Ekspansiyon
,
Overtreatment
,
Elastikler: Sınıf II
Courtesy of Dr G. Thiesen, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 43
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 24 ay

Hizalayıcı sayısı

  • Maxillary: 87 + 29 = 116
  • Mandibulary: 87 + 29 = 116

Aligner Wear time

  • Weekly for most of the duration of treatment and twice a week during some period due to the use of accelerated devices

Alıkoyma

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Sınıf I ilişkisine ulaşıldı
  • Her iki tarafta işlevsel köpekdişi kılavuzu
  • Normal overjet ve overbite’a ulaşıldı
  • Overbite’ın önemli ölçüde iyileştirilmesi
  • Orta hatlar çakışık
  • Curve of Spee leveled
  • Arklar hizalandı ve koordine edildi
  • Ark biçimi iyileştirildi
  • Estetik gülümseme hattına ulaşıld 
  • Vakanın tüm tedavi hedeflerine erişildi

Yorumlar

  • Sequential distalization was done, associated with the use of Class II elastics. The sagittal jump accounted for 20% of the sagittal correction.
  • During the orthodontic treatment the maxillary and mandibular dental arches were aligned, and maxillary and mandibular incisor inclinations were improved.
  • Ideal overjet was obtained at the end of treatment.
  • Ideal overbite was obtained by intruding the mandibular anterior teeth mainly. For correction of the deep bite, leveling of the Curve of Spee was done initially, and only later lower IPR was performed.
  • Some vertical overcorrection was performed since proclination of the anterior teeth (relative intrusion) was not enough to level the severe Curve of Spee presented.
  • Gingival health has improved due to significant improvement of overbite.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left
İlkSon
Before picture of treatment
After picture of treatment
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Radyogramlar

İlk Son
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