Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR
,
Elastics: Class II
,
Elastics: vertical
Courtesy of Dr K. Sung Chung, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 17
  • Gender: male
  • Invisalign Treatment Option: Invisalign Lite

Number of aligners

  • Maxillary: 14 + 14 + 14 = 42
  • Mandibulary: 14 + 14 + 14 = 42

Aligner Wear time

  • 10-14 days

Retention

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

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Significant improvement of overjet
  • 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 
  • Harmonic arches were achieved

Comments

  • The patient's overjet was significantly decreased by distalization of posterior teeth and IPR in conjunction with Class II elastics.
  • The lower Curve of Spee was leveled by intrusion of lower incisors and extrusion of lower 456.
  • His profile was improved by a significant reduction of lip protrusion.
  • The upper midline is on his facial midline. The lower midline is not coincident with the facial midline due to chin deviation.
  • The patient was very happy with his smile and final 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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