Class II div 2, Increased overjet, Mandibular retrognathia, Deep bite, Narrow arches, Asymmetric arches, Maxillary midline deviation, Mandibular midline deviation, Midline shift, Crowding, Rotations, Impacted canines
Distalization
, Mesialization
, Leveling Curve of Spee
, Extrusion
, Intrusion
, Expansion
, Retraction
, Proclination
, IPR
, Space Closure
, Elastics: Class II
, Elastics: Class II in Additional Aligners
Courtesy of Dr. A. Conigliaro,
2020
Treatment Summary
Patient Information
- Age: 15
- Gender: female
- Invisalign Submission Option: Invisalign Full
Total Treatment Time
- 18 months
Number of aligners
- Maxillary: 29 + 33 + 15 = 77
- Mandibulary: 29 + 33 + 15 = 77
Aligner Wear time
- 1 week
Retention
- Maxillary: Vivera retainer
- Mandibular: Vivera retainer
Results achieved
- Class I relationship achieved
- Functional canine guidance on both sides
- Normal overjet and overbite achieved
- Deepbite improved
- Overjet improved
- Significant improvement of overbite
- Significant improvement of overjet
- 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
Comments
- 15-year-old patient with permanent dentition
- Severe upper and lower crowding
- Deviation of the upper midline to the left
- Upper arch: modest bilateral distalization
- To create space for the 2.3 we expanded the arch
- Alignment and leveling of the teeth
- Lower arch: modest expansion of the arch
- Alignment and leveling of the teeth
- Correct leveling of the curve of Spee
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