Class II div 1
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Spacing

Leveling curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Space Closure
,
Phase I treatment / Interceptive
,
Overtreatment
,
Elastics: Class II
Courtesy of Dr R. Madan, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 9
  • Gender: female
  • Invisalign Treatment Option: Invisalign First

Total Treatment Time

  • 22 months

Number of aligners

  • Maxillary: 33
  • Mandibulary: 33

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  •  incorporated expansion/arch co-ordination which helped with spontaneous correction of premature occlusal contacts
  • upper anterior retraction and space closure
  • use of class II elastics
  • anterior bite ramps and mild upper arch distalization on the right side

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

Initial
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