Class II div 1
,
Increased overjet
,
Narrow arches

Leveling Curve of Spee
,
Expansion
,
Retraction
,
IPR
,
Pre-surgical
Courtesy of Dr C. Carvalho, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 23
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 15 + 18 + 6 = 39
  • Mandibulary: 21 + 18 + 6 = 45

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Overjet improved
  • Significant improvement of overjet
  • 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

I needed to improve the overjet for mandibular advancement orthognathic surgery. In addition to the advencement , we performed a maxillary impaction and surgery on the chin.
I did a lower anterior ipr to retract incisors. In addition, we expanded the upper and lower arch with correction of premolar rotation

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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