Class II div 1
,
Deep bite
,
Crowding

Leveling curve of Spee
,
Intrusion
,
Retraction
,
First premolar extraction
,
Overtreatment
,
Elastics: Class II
Courtesy of Dr F. WANG, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 30
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Total Treatment Time

  • 24 months

Number of aligners

  • Mandibulary: 63 + 22 = 85

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • 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

By extracting 4 first premolars, using the traditional attachment, biteramps and powerridge to retract the anterior teeth. Final check of X-ray(pano) shows ideal axial inclination and torque. By the end of invisalign treatment , bimaxillary protrusion had been improved and finally obtain perfect profile and smile line.

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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