Class II div 2
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Mandibular advancement
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Elastics: Class II
Courtesy of Dr M. Lama, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 16
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen with MA

Number of aligners

  • Maxillary: 28 + 38 + 30 = 96
  • Mandibulary: 28 + 38 + 30 = 96

Aligner Wear time

  • 1-week

Retention

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

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • NormalĀ  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • All treatment goals were achieved case

Comments

1.we started with a first phase of symmetrical mandibular advance , on the left the class II was greater, at this stage we programmed a leveling of the spee curve.
2. In a second phase we made left distalization and elastics to get the class I canine left.
3.The third stage was to improve the highlight and with superior IPR and achieve adequate over-ordering with pure lower incisor intrusion.

Images

Initial and final

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upper
lower
right
front
left
lower
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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