Class II div 1
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Midline shift
,
Crowding

Mandibular advancement
,
Pre Mandibular advancement phase
,
Expansion
,
Elastics: vertical
Courtesy of Dr C. I Chen, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 12
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen with MA

Total Treatment Time

  • 23 months

Number of aligners

  • Maxillary: 30 + 26 + 25 = 81
  • Mandibulary: 30 + 26 + 23 = 79

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
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arch form improved
  • Aesthetic smile line was achieved 
  • Harmonic arches were achieved

Comments

  • Before growth peak of this patient MA feature applied to improve excessive OJ and OB.
  • Additional aligner with midline and vertical elastics to achieve proper treatment outcome.

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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