Class II div 2
,
Anterior Crossbite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Mesialization
,
Intrusion
,
Retraction
,
First premolar extraction
,
Other extraction
,
IPR
,
Space Closure
,
Phase II treatment
,
Elastics: Class II
,
Extraction
Courtesy of Dr H. Watabe, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 36
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 16 개월

Number of aligners

  • Maxillary: 34 + 22 = 56
  • Mandibulary: 45 + 15 = 60

Aligner Wear time

  • 1주

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Class II relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • 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

  • Extracted 14, 24,35.
  • The lower midline was shifted 4 mm to the left.
  • Staging of retraction used simultaneous movements.
  • Treatment period for initial aligners was 11 months.
  • Initial aligners: continued using Class II elastics (3/16 inch, 6.0 OZ ) on the right side and Class II elastics (3/16 inch, 4.5 OZ ) on the left.
  • 추가 정렬 자: Triangle elastics (3/16 inch, 4.5 OZ) were used on both sides.

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 enlarged400
Click to compare enlarged394