Class II div 1
,
Anterior crossbite
,
Open bite
,
Mandibular midline deviation
,
Spacing

Mesialization
,
Leveling Curve of Spee
,
Extrusion
,
Retraction
,
Space Closure
Courtesy of Dr J. Weng, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 24
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 17 + 18 = 35
  • Mandibulary: 73 + 18 = 91

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • 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

  • Optimized Multi-tooth extrusion.  Attachments were used for extruding upper incisors to correct open bite and improve the patient‘s smile line.
  • Power ridge used for anchorage control of incisors.
  • Patients with anterior open bite usually have tongue swallowing habits. It's very important to teach patients to correct tongue swallowing habits during orthodontic treatment.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged298
Click to compare enlarged292