Class II div 2
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Impacted canines
,
Spacing

Distalization
,
Mesialization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
First premolar extraction
,
IPR
,
Space Closure
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Elastics: vertical
Courtesy of Dr. A. Conigliaro, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 14
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 48 + 40 + 27 = 115
  • Mandibulary: 48 + 40 + 27 = 115

Aligner Wear time

  • 14-7 days

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

  • A 13-year-old patient with permanent dentition
  • Presence of two supernumeraries in a retro-incisive palatine position
  • Resolved midline deviation
  • Upper arch: distalization of 12 instead of 13 as planned
  • Elastics used for the extrusion of 13
  • Expansion of the arch, anterior intrusion and posterior extrusion, leveling, and alignment of the arch
  • Lower arch: expansion of the arch, anterior intrusion and posterior extrusion, leveling, and alignment of the arch

Images

Initial and final

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upper
lower
right
front
left
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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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