Class II div 1
,
Narrow arches
,
Crowding
,
Rotations

Expansion
,
Retraction
,
Extraction
Courtesy of Dr K. Sellers, 2020
Award 2021 Peer Review Award
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 65
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 13 months

Number of aligners

  • Maxillary: 55 + 13 = 68
  • Mandibulary: 55 + 13 = 68

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Overjet improved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Alignment of both arches through derotation
  • Arch form improved
  • Harmonic arches were achieved

Comments

Extracted upper right first premolar; used spaces for missing teeth to align and retract anteriors; protracted posterior teeth without attachments which were recommended however, I removed the bridge on the upper right central incisor, and upper left central and lateral incisors.

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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