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Case Study
Age
Gender
Patient’s chief complaint(s): Central incisor protrusion and open bite. Patient refuses palatal arch expansion (MARPE) and extractions.
This teen patient presented with Class II molars and didn’t like his open bite and how protrusive his front teeth were. From his facial photos, it appeared his mandible was retrognathic or he lacked volume in his chin. Patient records also indicated there was a functional problem as there was no incisor guidance.
See how doctors are treating Class II cases with distalization primarily and without elastics in this SureSmile aligner case shared by Dr. Armando Dias da Silva. Dr. Dias da Silva is an orthodontist with a private practice in Porto, Portugal.
Orthodontist
Private Practice in Porto, Portugal
Date of Issue
This case report is published as an inspiration for you as a clinician and not necessarily as a recommendtion from Dentsply Sirona
• Class II molars
• Diastema
• Mild spacing upper and lower arches (transverse deficiency of 3.45 mm)
• Upper right first molar is in a more mesial position than the upper left first molar
• Mild maxillary transverse deficiency (3.45 mm)
• Proclined upper and lower incisors
• Unfavorable canine guidance
• Align and level with no extractions
• De-rotate and distalize upper molars
• Retrude upper incisors
• Retrocline lower incisors
• Genioplasty when adult
Modalities - SureSmile® Software and Aligners
Duration - 7 months, 7 appointments
# Aligners - U: 24 L: 16
All main objectives were achieved:
Retention: Upper arch retained with a clear retainer. Lower arch retained with a lingual retainer bonded cuspid to cuspid.
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