Class II div 1
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Crowding
,
Spacing

Leveling Curve of Spee
,
Intrusion
,
Retraction
,
Lower incisor extraction
,
First premolar extraction
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Extraction
Courtesy of Dr C. Wu, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Total Treatment Time

  • 26 months

Number of aligners

  • Maxillary: 46 + 22 + 3 = 71
  • Mandibulary: 46 + 22 + 3 = 71

Aligner Wear time

  • 10 days

Retention

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

Results achieved

  • Class II relationship maintained
  • Functional canine guidance on both sides
  • 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
  • Arch form improved
  • Aesthetic smile line was achieved 

Comments

  • This was a Class II div1 malocclusion with a large overjet and deep bite.
  • We created space in the upper arch with the extraction of the 2.4 for Retraction and Midline shift.
  • We created space in the lower arch with the extraction of the 3.1 to achieve Class II and Level Curve of Spee.

Images

Initial and final

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Progress

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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial
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