Class II div 1
,
Deep bite
,
Narrow arches
,
Midline shift

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
TADs
,
Elastics: Class II in Additional Aligners
,
Elastics: vertical
Courtesy of Dr Y. Nien Shan, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 28
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 30 개월

Number of aligners

  • Maxillary: 20 + 65 + 8 = 93
  • Mandibulary: 20 + 37 + 8 = 65

Aligner Wear time

  • 1주

Retention

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

코멘트

  • The first series mainly expanded the arch, unlocked the mandible, and assured the real occlusion.
  • In the second series, we combined two Tads over the zygomatic area to distalize the upper and lower arch and the other two Tads for a correct gummy smile and occlusal plane canting.
  • During largely intruding and retracting upper dentition, we added a vertical jump and vertical elastic for the bite set.
  • In the end, used 8 more aligners for esthetic detailing.

Images

Initial and final

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

진행

Click to compare enlarged
upper
lower
right
front
left
치료 전 초기최종
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

방사선 사진

치료 전 초기 최종
Click to compare enlarged398
Click to compare enlarged392