Sınıf II böl 1
,
Artmış overjet
,
Mandibular Retrognati
,
Dar Ark
,
Asimetrik arklar
,
Mandibular orta hat sapması
,
Çapraşıklık

Mandibular İlerleme
,
Pre Mandibular advancement phase
,
Distalizasyon
,
 Spee Eğrisini Düzleştirme
,
İntrüzyon
,
Retraksiyon
,
IPR
,
Faz I tedavisi / Önleyici
,
Faz II tedavisi
,
Elastics: Class II in Additional Aligners
Courtesy of Dr G. Thiesen, 2020
Before picture of treatment

Yakın Plan Tedavi

Dr G. Thiesen

We would like to thank Dr. G. Thiesen for this Class III div 1 case submission, which provides insight into excellent treatment planning with a great treatment end result.

“The Invisalign appliance is my treatment of choice for growing patients with Class II mandibular deficiency: control of tooth movement and orthopedic effects being realized at the same time! Since it is comfortable, compliance is great. Therefore, the efficiency of Invisalign with mandibular advancement using the precion wings is incredible!"

Dr G. Thiesen

Treatment Summary

Patient Information

  • Age: 12
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Total Treatment Time

  • 17 ay

Hizalayıcı sayısı

  • Maxillary: 32 + 36 = 68
  • Mandibulary: 32 + 36 = 68

Aligner Wear time

  • 1 hafta

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
  • Overjet’in önemli ölçüde iyileştirilmesi
  • Orta hatlar çakışık
  • Kesici dişlerin düzgün eksenel inklinasyonu
  • Curve of Spee leveled
  • Arklar hizalandı ve koordine edildi
  • Derotasyonla her iki arkın hizalanması
  • Ark biçimi iyileştirildi
  • Estetik gülümseme hattına ulaşıld 
  • Vakanın tüm tedavi hedeflerine erişildi
  • Harmonik arklar elde edildi

Yorumlar

  • The molar relationships were improved initially by the mandibular advance phase.
  • Lower Curve of Spee was improved during mandibular advance to allow proper sagittal correction.
    Sequential distalization was done with the additional aligners, associated with the use of Class II elastics. The sagittal jump accounted for 25% of the sagittal correction.
  • Maxillary and mandibular dental arches were aligned, and maxillary and mandibular incisor inclinations were improved.
  • Expansion was performed in both arches.
  • Ideal overbite was obtained by intruding the mandibular anterior teeth mainly.
  • Ideal overjet was obtained at the end of treatment.

Images

Initial and final

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

İlerleme

right
front
left
İlkSon
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radyogramlar

İlk Son
Click to compare enlarged398
Click to compare enlarged392