Class II div 1
,
Increased overjet
,
Narrow arches
,
Crowding

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
IPR
,
Restorative
Courtesy of Dr A. Ledergerber, 2021
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 13 months

Number of aligners

  • Maxillary: 26
  • Mandibulary: 26

Aligner Wear time

  • 2-weeks

Retention

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

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • 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

  • Overjet correction was achieved by the expansion of both arches, IPR in upper arch, proinclination of lower incisors.
  • Counterclockwise rotation of the mandible was achieved by the elimination of the anterior premature occlusal contacts presented in the initial bite of the patient.

Images

Initial and final

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upper
lower
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front
left
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lower
right
front
left

Progress

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

Initial Final
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