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
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: female
  • Invisalign Treatment 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

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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