Class II div 1
,
Edge to edge bite
,
Asymmetric arches
,
Maxillary midline deviation
,
Crowding

Leveling curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Lower incisor extraction
,
IPR
,
Veneers
,
Elastics: Class II
Courtesy of Dr F. WANG, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 37
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Total Treatment Time

  • 14 months

Number of aligners

  • Maxillary: 32 + 12 = 44
  • Mandibulary: 32 + 12 = 44

Aligner Wear time

  • 1 week

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • 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

Comments

Did complete periodontal basic treatment

Protected her periodontal health by using optimized attachments, smaller traditional attachments and reducing the movement of each step of aligner to avoid periodontal trauma

The dark triangle between anterior teeth was improved by IPR, and the space provided by IPR and expansion of maxillary arch also made it possible to retract anterior teeth and improved her profile

Gained a better occlusal relationship,smile line and good profile.

Images

Initial and final

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Progress

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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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