Class II div 2
,
Mandibular retrognathia
,
Deep bite
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Retraction
,
Proclination
,
Elastics: Class II
Courtesy of Dr L. CLOSS, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 19
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Number of aligners

  • Maxillary: 55 + 14 = 69
  • Mandibulary: 55 + 10 = 65

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Deepbite improved
  • Overjet improved
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • Harmonic arches were achieved

Comments

-Class I molar and canines relationship achieved by distalization mechanics associated to IPR (Bolton discrepancy) and Cl II elastics. Extraction of 1.8,2.8,3.8 and 4.8 were required previous of treatment start)
- Normal overjet and overbite achieved - sequentialized mechanics for distalization and proclination of upper and lower incisors followed by intrusion of lower incisors
- Significant improvement of overbite - significant intrusion of lower incisors and upper incisors
- Midlines coincident - Shifting of upper midline by teeth movement , IPR on right side and Cl II elastics
-Proper axial inclination of incisors - proclination of anterior teeth followed by retraction
-Curve of Spee leveled - intrusion of lower and upper incisors;
-Correction of canted of oclusal plane by intrusion of upper right segment and extrusion of upper left segment

Arches aligned and coordinated
Arch form improved
Aesthetic smile lines achieved
Harmonic arches were achieved

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

Initial Final
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