Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Spacing
,
Diastema

Distalization
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Space Closure
,
Overtreatment
,
Elastics: Class II
Courtesy of Dr W. Chi Chiu, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 67 + 32 = 99
  • Mandibulary: 67 + 32 = 99

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 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

  • Segmental distalization was used to correct Class II over UL with Class II elastics
  • Expansion of the upper arch was used to create an ideal arch form and create space for anterior retraction to correct the large overjet
  • Expansion of the lower arch was used to alleviate crowding
  • Additional aligners are used for bite settling and to further finish the overjet at 2 mm

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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lower
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front
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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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