Class II div 2
,
Mandibular retrognathia
,
Deep bite
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
Restorative
,
Overtreatment
Courtesy of Dr W. Chi Chiu, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 29
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Number of aligners

  • Maxillary: 53 + 18 + 15 = 86
  • Mandibulary: 53 + 18 + 15 = 86

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
  • Significant improvement of overbite
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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

Expansion was performed to alleviate crowding on the upper arch and to make space for future 4131 prostheses.
The anterior deep-bite is corrected with precision bite ramps on the lingual of 12~22 and with intrusion protocols.

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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