Class II div 1
,
Posterior crossbite
,
Open bite
,
Narrow arches
,
Asymmetric arches
,
Crowding
,
Rotations
,
Spacing

Extrusion
,
Intrusion
,
Expansion
,
Space Closure
,
Overtreatment
,
Elastics: Class II in Additional Aligners
Courtesy of Dr J. Kothari, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Number of aligners

  • Maxillary: 25 + 19 + 15 = 59
  • Mandibulary: 25 + 19 + 15 = 59

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Overjet improved
  • 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

  • Arch coordination
  • Overtreatment of expansion
  • Overcorrection of the open bite
  • Openbite treated with a combination of posterior intrusion and anterior extrusion
  • Spaces closed
  • Mild cl II elastic wear in additional aligners

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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