Class II div 1
,
Increased overjet
,
Deep bite
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
Elastics: Class II
Courtesy of Dr Y. Lin, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 22 months

Number of aligners

  • Maxillary: 53 + 17 + 17 = 87
  • Mandibulary: 53 + 17 + 17 = 87

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • 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

  • Performed sequential distalization to retract ant teeth to resolve crowding and improve the protrusion of lips
  • Performed class II elastic traction to reach class I and correct midline
  • Used additional aligners for detailing and finishing

Images

Initial and final

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upper
lower
right
front
left
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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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