Class II div 1
,
Deep bite
,
Narrow arches
,
Crowding

Intrusion
,
Expansion
,
IPR
Courtesy of Dr. Casa, 2012
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 35
  • Gender: F
  • Invisalign Submission Option: Full

Total Treatment Time

  • 16 months

Number of aligners

  • Maxillary: 23 + 3 = 26
  • Mandibulary: 23 + 3 = 26

Retention

  • Maxillary: Fixed lingual retainer 3-3
  • Mandibular: Clear retainer for night

Results achieved

  • Class I canine relationship, Primary second molars retained in mandibular arch
  • Harmonic arches achieved
  • Reduction of buccal corridor
  • Maxillary and Mandibular incisors aligned
  • Improved patient profile

Comments

  • Refinement done with new photos and new impressions
  • Refinement was to intrude maxillary incisor and align anterior teeth

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
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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  • Agenesis of mandibular premolars 3.5(LL5) and 4.5(LR5)