Class II div 1
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Maxillary midline deviation
,
Crowding
,
Rotations

Distalization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class II
Courtesy of Dr J. ANDRES MONTOYA SIERRA, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 34
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 13 months

Number of aligners

  • Maxillary: 52
  • Mandibulary: 52

Aligner Wear time

  • 1-week

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
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • 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

Comments

This case is the demonstration of the perfect functioning of the sequential distalization protocol, even if it is unilateral. Also the effective tool that is the G5 protocol for the solution of deep bite. In addition, the correction of the midline at the expense of adequate programming of unilateral IPR. The use of class II elastics by the patient was essential. It is remarkable that the use of additional aligners was not necessary.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged320
Click to compare enlarged314